Town of Winthrop : Record of Deaths 1919-1921, Part 191

Author: Winthrop (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 1192


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 191


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EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contracted, the duration of his last illness, when last seen alive by the physician, and the date of his death. . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 822.


No undertaker or other person shall bury a human body .. . until he has received a permit frem the beard of health or its agent, . . . or ... from the clerk of the city or town in which the person died; . . . no such permit shall be issued until there shall have been delivered to such board, agent or clerk, . . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate of the at- tending physician, If any, as required by law, or in lieu thereof a certifi- cate as hereinafter provided. If there is no attending physiclan, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall mako such certificate. . . . The person to whom the per- mit is so given and the physician who certifies to the cause of death shall thereafterfurnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Revised Laws, Chap. 78, Sec. 38.


Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased dicd, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and mauner of his death, and shall make examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.


RULES OF PRACTICE


The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illuess from disease unrelated to any form of injury.


(2) Board of Health Physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abertieu, but also deaths from disease resulting from injury or infection related to occupation, tlc sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


R-302


The Conunamuralth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


County


Suffolk


State


Massachusetts


City or Town


Boston


No. CITY, HOSPT


Registered No. 147 (Place of residence) St., Ward


(If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


ADOLPH L. ALTMEYER


(If in the Army or Navy of the United States, give rank, organization, etc.)


(a) Residence. State.


(Usual place of abode)


City or Town WINTHROP No.


57 SHORE DRIVE -- St.


Length of residence in city or town where death occurred


years


mooths


days


How long in U. S., if of foreigo birth?


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


W


MARRIED


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


HARRIET E.


6 DATE OF BIRTH (month, day, and year) JUNE 30. 1882


7 AGE


Years


Months


Days


If LESS than


1 day, ........ hars. or ........ min.


If STILLBORN, eoter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


ATTORNEY


9 BIRTHPLACE (city or town)


E.R.A.N.C.E.


10 NAME OF FATHER


JOHN


11 BIRTHPLACE OF FATHER (city or town)


(State or country)


FRANCE


12 MAIDEN NAME OF MOTHER ELIZABETH MITCHELLWhat test confirmed diagnosis?


13 BIRTHPLACE OF MOTHER (city of ANDE (State or country)


WIFE


19 P'


WINTHROP. MASS. (TOMB)


DATE OF BURIAL


SEPT. 121


19 21 MOMSlenen


Registrar of city or town where death occurred


Filed


Oct 25


19 21


Registrar of city or town where deceased resided


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH (month, day, and year)


SEFT.9


19 21


17


I HEREBY CERTIFY, That I attended deceased from


., 19.


..... , to ..


19.21


that I last saw h ...


alive on


19.21


and that death occurred, on the date stated above, at m. The CAUSE OF DEATH* was as follows :


* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)


GUNSHOT WOUND HEAD AND RESULTANT


INJURIES. ( HOMICIDAL)


.. (duration).


yrs ..


mos.


ds.


CONTRIBUTORY


(SECONDARY)


(duration)


yrs.


mos.


.ds.


18 Where was disease contracted


if not at place of death ?


Did an operation precede death ?.


Date of


Was there an autopsy?


(Signed)


W. H. WATTERS


M.D.


, 19


(Address)


ASSC, MED.EX.


15


SEPT.12


Filed


20 UNDERTAKER


C. R. BENNISON


ADDRESS


WINTHROF


. 25,000


3 SEX M 39 particular kiod of work (b) Name of employer PARENTS 14 Informant (Address) carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back (State or country) of certificate.


BOSTON


( City or town) Registered No. 7039 (Place of death)


2


9


Sept. 9.1921 REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]


Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to cach and every person, irrespective of agc. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer,"


"Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at liome, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifieally the occupations of persons engaged in domestic service for wages, as Scrvant, Cook, Housemaid, etc. If the occupation has been elianged or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (rctired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and eausation), using always tlie same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- ficd, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of_


(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Aneinia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," " "Debility"? {"Con-


genital," "Scnile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease ean be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, Or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull,


under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)


Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.


2. Deaths supposedly eaused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, etc.


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.


4. Deaths under circumstances unknown, as A person found dead, etc.


ADDITIONAL SPACE


FOR FURTHER STATEMENTS BY PHYSICIAN.


R-301


in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


County.


Suffolk


State.


Massachusetts


Registered No.


144


City or Town


92


No.


O ..


St ........


Ward


(If death occurred in a hospital or institution, give its NAME instead of street and number) Fame Merinsan


2 FULL NAME


92 Bacon


St.


Ward.


( If non-resident give city or town and State)


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


urEu


5a If married, widowed, divorced


HUSBAND of


(or) WIFE of


Farve . W. Meryma


6 DATE OF BIRTH


(Month)


"(Day)"


(Year)


7 AGE 80 Years 5 Months tas Days 18


1 day ......... hrs. or ........ min.


8 OCCUPATION OF DECEASED (a) Trade. profession, or particular kind of work (b) General nature of industry, business, or establishment in which employed ( or employer).


(c) Name of employer


9 BIRTHPLACE (City)


(State or country)


10 NAME OF


FATHER


Cyrus 9. Swett.


PARENTS


11 BIRTHPLACE OF


FATHER (City)


(State or country)


Peadfield. Maike.


12 MAIDEN NAME


OF MOTHER


Mary


Hayus,


13 BIRTHPLACE OF MOTHER (City) ... (State or country) maise


14 W. E. Meryman.


19 PLACE OF BURIAL, CREMATION, OR REMOVAL DATE OF BURIAL Mt. aubu un .


(Cemetery)


(City or town)


9/12/-


19 2/


20 UNDERTAKER


Charles R. Benson St.


ADDŘESS


14.TWuthug


21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was fled with me BEFORE the burial or transit permit was issued


Official position. of Health Offrons


Date of issue of permit 9/11/21


Permit No. 333


instructions and extracts from the laws on back of certificate.


150,000.


9-XXM.)


15


Sept 15,199


(Month) (Day) (Ycar)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


Left


/0


1921 (Year)


17


I HEREBY CERTIFY, That I attended deceased from


July


1921, to


to


Sett 10


, 19-2/


that I last saw h.


alive on


Seff 4


and that death occurred, on the date stated above, at 29 m.


Cerebral Hemanlage


Hemi Plegia


.. (duration)


CONTRIBUTORY


(SECONDARY)


18 Where was disease contracted


if not at place of death? ........


FOR WHAT?


yrs


mos ........ ..


.. ds.


X


Did an operation precede death?


. Date of


X


Was there an autopsy ?


no


What test confirmed diagnosis ?


Clinical


(Signed).


Graille & forma M.D.


(Address)


Date.


Soft


1921.


7(Month)


(Day)


( Year)


Informant


(Address)


Mary


(If in the Army of Navy of the United States, give rank, organization, etc.)


(a) Residence.


No.


( Usual place of abode)


Length of residence ia city or town where death occurred


5 years


years


months


days.


How long in U. S., if of foreign birth ?


years


16 DATE OF DEATH.


( Month)


(Day)


Jamal


Mar 22 1841


If STILLBORN, enter that fact here


If STILLBORN, state period of uterogestation


mos.


lf LESS than


The CAUSE OF DEATH was as follows :


yrs


mos ..


10


ds.


should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


[Approved by U. S. Census and American Public Health Association]


Statement of occupation. - Precise statement of oceupation is very important, so that the relativo healthfulness of various pursuits ean be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physicion, Compositor, Architect, Locomotive engincer, Civilengineer, Stationory firemon, cic. Butin many eases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Solesmon, (b) Grocery; (a) Foremon, (b) Automobile foctory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Doy loborer, Form laborer, Laborer - Cool mine, cte. Women at home, who are engaged in the duties of the house- hold only (not paid Housekcepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically tho occupations of persons engaged in domestie service for wages, as Servant, Cook, Housemaid, ete. If the occupation has been changed or given up on account of the DISEASE CAUSING NEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Former (retired, 6 yrs.). For persons who have no occupation whatever, write None.


.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same discase. Examples: Cere- brospinal fever (the only definite synonym is "Epidemie cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, etc., of. . (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); Measles; Whooping cough; Chronic volvular heart disease; Chronic interstitiol nephritis, cte. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Mcasles (disease causing death), 29 ds .; Bronchopneumonia (sccondary), 10 ds. Never report mcre symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatie), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Dcbility" ("Congenital,"" Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," ete., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," " PUERPERAL peritonitis," ete.


State cause for which surgical operation was undertaken.


(Recommendations on statement of eause of death approved by Com- inittec on Nomenclaturo of the American Medical Association.)


Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.


Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.


EXTRACTS PROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH


-


A physician shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed agc, the discase of which he died [defined so that it can be elassified under the international elassification of causes of death], where contractcd, the duration of his last illness; when last seen alive by the physician, and the date of his death. .. . - Revised Laws, Chaly. 29, Secs. 10 ond 1, as amended by Acts of 1910, Chop. 822.


No undertaker or other person shall bury a human body .. . until he has received a permit from the board of health or its agent, . . . or . .. from the clerk of the eity or town in which the person died; . . . nosuch permit shall be issued until there shall have been delivered to such board, agent or clerk, . .. a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate of the at- tending physician, if any, as required by law, or in lieu tlicrcof a certifi- cate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. . .. The person to whom the per- mit is so given and the physician who certifies to the cause of death shall thereafterfurnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or eause of the death, which the clerk or registrar may require. - Revised Laws, Chop. 78, Scc. 38.


Medical examiners shall, in all cases, certify to the city or town elerk or to the eity registrar in the place where the deceased dicd, his name and residence, if known, otherwise a description of such person as full as may be, with the eause and manner of his death, and shall make examination upon the view of the dead bodies of only such persons as aro supposed to have come to their death by violence. - Revised Laws, Chop. 24, Sec. 8.


RULES OF PRACTICE


The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:


(1) Attonding physicians will certify to sueh deaths only as those of persens to whom they have given bedside eare during a last illness from disease unrelated to any form of injury.


(2) Board of Health Physicians will certify to sueh deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths eaused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


R-302


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


BOSTON


(City or town)


1 PLACE OF DEATH


County


Suffolk


Boston


No.


589 BEACON ST


2 FULL NAME


MASS.


City or Town


WINTHROP


No.


62 PLEASANT


St.


Length of residence in city or town where death occurred


years


months


days


How long in U. S., if of foreign hirth?


years


months days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


M


4 COLOR OR RACE


WY


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


MAR.


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


MARY A.


6 DATE OF BIRTH (month, day, and year)


OCT . 16 . 1857


7 AGE


Years


Months


Days 4


If LESS than


63


1 day, ........ hrs. or ........ min.


If STILLBORN, enter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


MEAT BUSINESS


particular kind of work.


(h) Name of employer


GRINNELL


9 BIRTHPLACE (city or town).


(State or country)


IA.


10 NAME OF FATHER


ALLEN ATWOOD


PARENTS


11 BIRTHPLACE OF FATHER (city or TAURO (State or country)


12 MAIDEN NAME OF MOTHER BETSEY L.RICH


TRURO


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


,19


(Address)


SEPT .11


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


CAMBRIDGE (MT, AUBURN)


20 UNDERTAKER


A. L. EASTMAN CO.


DATE OF BURIAL SEL. 13 1921


ADDRESS


5


MYOCARDITIS


(duration).


1


yrs.


mos. ds.


CONTRIBUTORY


DIABETES MELLITUS


(SECONDARY)


(duration)


2


.yrs .....


mos.


ds.


18 Where was disease contracted


if not at place of death?


Did an operation precede death ?.


Date of


Was there an autopsy?


What test confirmed diagnosis?


O . THOMPSON


(Signed)


M.D.


14 WIFE


Informant


(Address)


Eringlenen


Registrar of city or town where death occurred


Filed


Oct 25 1321


Registrar of city or town where deceased resided


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH (month, day, and ycar) SEPT . 10


19 21


17


I HEREBY CERTIFY, That I attended deceased from


APR.6


21


SEFT.10


1921


IM


19


to


SEPT. 15


that I last saw h


alive on


1921


and that death occurred, on the date stated above, at 11.45P m The CAUSE OF DEATH* was as follows :


* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)


carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back


25,000


of certificate.


15


Filed.


SEP. 13,21


State


Massachusetts


Registered No ...


7074


(Place of death)


Registered No.


148


(Place of residence)


St.,


Ward


City or Town


ARTHUR H. ATWOOD


(If death occurred in a hospital or institution, give its NAME instead of street and number)


(If in the Army or Navy of the United States, give rank, organization, etc.)


(a) Residence.


State


(Usual place of abode)


e 192 ) REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]


Statement of occupation. - Precisc statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Ptanter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the dutics of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At sehool or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.




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