Town of Winthrop : Record of Deaths 1919-1921, Part 5

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 5


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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(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 necd not be stated unless important. Example: Measles (disease causing death), 29 Gs .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions,"""Debility" (“ Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," ete. State cause for which surgical operation was undertaken. For VIOLENT DEATIIS 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, and consequences (c. g., sepsis, tetanus) may be stated


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 caused by violence, as Crimina, 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 FURTIIER STATEMENTS BY


PHYSICIAN.


R 15. 2-'18. 100,000.


ORM R-301


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH folk


County


City or Town


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


turan Frances Que Con-


2 FULL NAME


2 5 Locust


(a) Residence.


(Usual place of abode)


Length of residence in city or lown where death occurred


years


months


days.


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


years


months days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


widow


of late


5a If married, widowel, or divorced HUSBAND of (OF) WIFE Thomas Burton


6 DATE OF BIRTH


may 28- 1 846 ( Month) (Day)


(Year)


7 AGE


72 Years


7 Months


Days


If LESS than


I 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)


Lourden, Mitt,


10 NAME OF


Hamilton-tt OCH


FATHER


PARENTS


11 BIRTHPLACE OF


FATHER (City)


Canterbury


(State or country) -21. 44


12 MAIDEN NAME


OF MOTHER


Otra .H. Cate


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


Contentand.


14


Informant


(Address)


15 à Dam 21 1919 Filed (Mønth) (Day) (Year)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


Jan


18


1919


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


.to


gau 12


,19/9


San 14


, 1919,


1


that I last saw her


alive on


Jan 14


, 19 /9,


and that death occurred, on the date stated above, at


m.


The CAUSE OF DEATH was as follows: arterio Relevoses Hypertrophyo dilatation of heart


10$


(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? to Date of


Was there an autopsy ?


no


What test confirmed diagnosis ?


(Signed)


Horace & Soul


(Addr


3) 180 WithProp St Winthrop


, M.D.


Date Jan


20


(Month)


(Day)


1919


(Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


muss


Rural Cometia Worcester


(Cemetery)


(City or town)


DATE OF BURIAL


1/22


19/9


20 UNDERTAKER


ADDRESS


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


Sie. Nowy


3.8


Official position ..... i eatthere


-22 Date of issue of burial or transit permit


Jan. 20, 199


in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information instructions and extracts from the laws on back of certificate.


0.'IS. 100,000.


State 25toast S h No ...


Registered No.


St ...


Ward


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


St.,


Ward.


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


16 DATE OF DEATH


(Month)


(Day)


If STILLBORN, enler that fact here


If STILLBORN, state period of uterogestation


mas.


Jan. 18, 1919.


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


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


Statement of occupation. - Precise statement of occupation 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 Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, 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 material 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 duties of the house- hold 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- 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 indicated thus: Farmer (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 disease. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic 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 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 .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., 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," etc.


State cause for which surgical operation was undertaken.


(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature 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 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. 322.


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 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 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 thereafter furnish 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 died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner 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 illness 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 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.


The Commonwealth of Massachusetts


CERTIFICATE OF DEATH OF NON-RESIDENT


Medfield ( City of town)


9


(Piace of death)


Registered No


(Place of residence)


St.,


Ward


City or Town


Gustavus w mason


(If death occurred in a hospital or institution, give its NAME instead of street and number) U. S. Navy (Civil War.)


(a) Residence.


State


mass


City or Town


Winthrop


No.


St.


(Usual place of abode)


Length of residence io city or town where death occurred


years


22


7


months


1


days


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


While


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


Married


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


Gertie a.


-


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


1846


7 AGE


72


Years


Months Days


If LESS than


1 day, ........ brs.


or ....... min.


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


Wood turner


(h) General nature of industry.


business, or establishment in


which employed (or employer)


(c) Name of employer


9 BIRTHPLACE (city or town)


(State or country)


New Hampshire


10 NAME OF FATHER Unknown


PARENTS


11 BIRTHPLACE OF FATHER (city or town)


(State or country)


1


12 MAIDEN NAME OF MOTHER


11


13 BIRTHPLACE OF MOTHER (city or town) (State or country) n


M.D.


/24. 1919 (Address)


Medfield


14


Informant


Hospital Records


( Address)


15


Filed Feb.1


1919.


Stillman & Bear


Registrar of city or town where death occurred


Filed,


Fele 5


.. 1919-


Registrar of city or town where deceased resided


20 UNDERTAKER


W. C. Skaggs


ADDRESS


Medlicht


MARGIN RESERVED FOR BINDING


N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,


of certificate.


1 PLACE OF DEATH


County


Norfolk


olk


State Mass.


Medfield No. State Hospital


2 FULL NAME


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


-


MEDICAL CERTIFICATE OF DEATH


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


Jan. 24


1919


17


HEREBY CERTIFY, That I attended deceased from


1


au. -


, 1914


to


Jan. 24, 1919


that I last saw h.W.w. alive on


Jan 14


1919


-


and that death occurred, on the date stated above, at


10.20 A .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.) Cardio-renal disease


(duration)


5


yrs


mos ..


............ ds.


CONTRIBUTORY.


(SECONDARY)


35


(duration).


yrs.


mos ..


.......


ds.


18 Where was disease contracted if not at piace of death ?


Did an operation precede death?


Date of


Was there an autopsy?


Thereal + laboratory


What test confirm


diag


(Signed)


9. allen Troxell


DATE OF BURIAL


Jan. 26 1919


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Winthrop Cemetery


3


Dementia praccox, paranoid


If STILLBORN, eoter that fact bere


Registered No ......


1


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


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 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, 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) Groccry; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, 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- 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 Nonc.


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 disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal inenin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, etc., of_


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


"Debility" (“Con- lapse," "Comna," "Convulsions,"


genital," "Senile," etc.), "Dropsy,". "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can 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 dc- 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, and consequences (e. g., sepsis, tetanus) may be stated


under the licad 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 caused 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 duc to Alcoholism., etc.


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


ADDITIONAL SPACE


FOR FURTHER STATEMENTS BY


PHYSICIAN.


R 303. 6-'18. 50,000.


ORM R-301


N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information instructions and extracts from the laws on back of certificate. should be 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


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


County.


Proffolk


..


State.


mars


Registered No.


City or Town


Nunthurt


No.


3 Sturges St


St.


Ward


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


2 FULL NAME


mabelle. Spindler Babcock


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


(a) Residence.


No.


(Usual place of abode)


3 Llunges


St.,


Ward.


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


Length of residence in city or town where death occorred


years


months


days.


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


white


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


manuel


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


oscar V. Babcock


6 DATE OF BIRTH


may


( Month)


(Day)


( Year)


7 AGE


Years 33


Months


Days


If LESS thao


1 day,


hrs.


or


min.


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


(c) Name of employer


9 BIRTHPLACE (City)


(State or country)


10 NAME OF


Ormer Skindler


FATHER


PARENTS


11 BIRTHPLACE OF


FATHER (City) ..


(State or country)


Germany


12 MAIDEN NAME


OF MOTHER


Pauline Blocklinger


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


14


Informant


oscar. V. Babcock


(Address)


3 Stingrs &t Wireless


(Cemetery) zowehat (City of town)


20 UNDERTAKER


ADDRESS


15


Filed Jung, 30, 1919


(Month)' (Day) (Year)


REGISTRAR =


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Monthy


17


I HEREBY CERTIFY, That I attended deceased from


San 18.


,19/9 , to.


Cim 25


,199,


-


that I last saw h


M alive on


Jan


25, 199


and that death occurred, on the date stated above, at


11/2


m.


The CAUSE OF DEATH was as follows :


Influenza- Branche Fremmaria


1


(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 ?


200


.


Date of ..


Was there an autopsy ? ..


What test confirmed diagnosis ?


(Signed) Surrey ad illy


, M.D.


(Address)


Date


27


1919


( Month)


(Day)


(Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


DATE OF BURIAL


1/28


1949


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


S. î Moura


Official position Health Prices 22


22 Date of issue of burial or transit permit


Can. 27, 19.9


an : 25


1917


(Dấy)


(Year)


/ 3 1880


If STILLBORN, eoter that fact here If STILLBORN, state period of uterogestation


mos.


-


0.'18. 100,000.


Jan. 25, 1919


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


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


Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question applics 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, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, 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 he used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material 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 duties of the house- hold only (not paid Ilousekcepers 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 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 indicated thus: Farmer (retircd, 6 yrs.). For persons who have no occupation whatever, write None.




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