USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 91
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(1) Attending physicians will certify to euch deaths only as those of persone to whom they havo given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health Physicians will certify to euch deathe only as those of persone 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 deathe caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deathe 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.
RM R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
County
Suffolk
State
Mess
Registered No.
70
City or Town
Winthrop
No.
4 Shore Drive
St. .. Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Nellie P. Gorham
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No. 4 Shore Drive
( Usual place of abode)
St.
Ward.
(If non-resident give eity or town and State)
Length of residence ta city or town where death occurred
I
years
months
days.
How long in U. S., if of foreign hirth ?
years
mouths
days
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
white
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Widowed
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Frank A. Gorham
6 DATE OF BIRTH
Cannot be learned
(Month)
(Day)
(Year)
Years
Months
Days
If LESS than
1 day ......... hrs.
or ....... min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
At Home
9 BIRTHPLACE (City)
Greenville
(State or country)
Me.
10 NAME OF
FATHER
Joseph Morris
11 BIRTHPLACE OF
FATHER (City )
Greenville
(State or country)
Me.
12 MAIDEN NAME
OF MOTHER
Persis
Parcher
Cannot be learned
13 BIRTHPLACE OF MOTHER (City) (State or country)
Informant Mrs. George Breckenbridge
(Address)
4" Shore Drive
Winthrop.
15
Filed
abril 15.1920 -Bezsie 1 Dodge
(Month) (Day) (Year)
asst
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was fled with me BEFORE the hnrial or transit permit was issned ..... J. 2. Maury
MEDICAL CERTIFICATE OF DEATH
am
(Day)
(Year)
17 I HEREBY CERTIFY, That I attended deceased from afoul 14 19 20, 10. 19 2x.
that I last saw h
alive on
1920
and that death occurred, on the date stated above, at 7.30 m.
The CAUSE OF DEATH was as follows: Chronic arterial sclerosis Chimie Saúdo - conditions Chimie
(duration)
.yrs
mos ............
.ds.
CONTRIBUTORY
Suppression f urme
....
(SECONDARY)
mos.
3
ds.
(duration)
.. yrs.
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 ?
(Signed)
mas M.D.
( Address).
124 wanting st
Date.
april
16
19 20
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Mt. Hope
Bangor
Me.
DATE OF BURIAL
4/19/20
19
(Cemetery)
(City or town)
ADDRESS
20 UNDERTAKER John C maley
Official position.
Healthofficer
Date of issue of permi ufer. 16
Permit
No 127
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. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See
-19. 50,000.
3 SEX Female 7 AGE 63 PARENTS 14 should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH (h) Name of employer
(City or Town)
( Month)
(Day)
16 DATE OF DEATH
( Month )
16
1420
...
Gps. 16. 1920 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, Physicion, Compositor, Architect, Locomotive engineer, Civilengineer, Stotionory firemon, etc. But in many cases, especially in industrial employments, it is necessary to know (0) 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 necdcd. As examples: (0) Spinner, (b) Cotton mill; (o) 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 laborer, Form loborer, Loborer - Cool mine, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Hlousekcepers 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- brospinol fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobor pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indcfinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinomo, Sarcoma, etc., of. . (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Meosles; Whooping cough; Chronic volvulor heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Meosles (disease causing death), 29 ds .; Bronchopneumonia (sccondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Ancmia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," otc., 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 suppesed 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, Chop. 29, Secs. 10 and 1, as amended by Acts of 1910, Chop. 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, 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) 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 peisons), 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.
RM R-301
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
Suffolk
State
Massachusetts
Registered No.
12471
City or Town
Winthrop
BOSTON
No.
40. Hawthorne ave
St., .Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Goldie Landerman
(If in the Army or Navy of the United States, give rank, organization, etc.)
40 Hautthorne ave
Length of residence in city or town where death occurred
years
3
mooths
days.
How long in U. S., if of foreign birth ?
(If non-resident give city or town and State) 14 months days years
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Widow
Widow of Harry
1846
(Day)
(Year)
7 AGE
74
Years
Months
Days
If LESS than 1 day, ........ hrs. or .... .... min.
House work
9 BIRTHPLACE (City)
Russia
Isaac Smosin
11 BIRTHPLACE OF
FATHER (City)
Russia
(State or country) BE Learned
12 MAIDEN NAME
OF MOTHER
E Sarah Cannot
Prussia
14 morris landesman
Informant., (Address) 64 Powder Hause Bild Som
15 Filed May 1, 1920 19. . Dodge
(Month) (Pay) (Year)
asiti
REGISTRAR
21 | HEREBY CERTIFY that a satisfactory stao- dard certificate of death was fled with me BEFORE the horial or transit permit was issued S.a. Maury
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
úpil
17
(Day)
1926
(Year)
17 I HEREBY CERTIFY, That I attended deceased from 0
1920
to
19 20.
that I last saw her alive on april 15, 1920, and that death occurred, on the date stated above, at. + m. The CAUSE OF DEATH was as follows :
Carcinoma y stamara
.(duration)
.. mos .. .ds,
CONTRIBUTORY
asterio palavras
(SECONDARY)
(duration)
yrs ...
18 Where was disease contracted
if not at place of death ?
FOR WHAT?
Did an operation precede death ?
Date of.
Was there an autopsy ?
What test confirmed diagnosis ?
(Sigoed)
, M.D.
(Address).
Date
april 15
1,20
(Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL Labeen
Kenessethals
(Cemetery)
(City oftown)
PATE OF BURIAL ap 18 1920
ADDRESS
20 UNDERTAKER
Jacob stanetsky Balón
Official- position
Health officer
Date of issue .. of permil. apr. 18,
Permit No 127.
1 PLACE OF DEATH
County.
(a) Residence. No ..
(Usual place of abode)
3 SEX
4 COLOR OR RACE
Female
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH
( Month)
If STILLBORN, eoter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work.
(h) Geoeral oature of industry,
business, or establishment in
which employed ( or employer)
(c) Name of employer
(State or country)
10 NAME OF
FATHER
13 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
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.
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
If STILLBORN, state period of uterogestation
....... mos.
'19. 150,000. 30-'19-XXM.)
mos. ds.
St.,
Ward.
Winthrop
april 17. 1920
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, Civil engineer, Stationary fireman, etc. But in many cascs, 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 arc 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 (retired, 6 yrs.). For persons who have no occupation whatever, write None.
-
Statement of cause of death. - Name, first, the DISEASE CAUSING NEATH (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 (ncver report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinitc); 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 necd 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 ascertaincd 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- mittce 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: Abortlon, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- rlage, necrosls, 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 otlier authorized person or of any member of the family of the deccased, 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 dicd [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 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 certiG- 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 physiclan 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 cause of the death, which the clerk or registrar may require. - Revised Laus, 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 discase 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 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 dlsease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
N. B .- Every item of information 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 instructions on back of certificate.
PARENTS
11 BIRTHPLACE
OF FATHER
(State or conntry)
England(
12 MAIDEN NAME
OF MOTHER
ann Oleino
1ª BIRTHPLACE
OF MOTHER
(State or country)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address)
16 File aps. 26, 1920 Bessie L. Dodge -
..........
asst REGISTRAR
MEDICAL CERTIFICATE OF DEATH
3 SEX
temel
4 COLOR OR RACE
6 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
urdu
1
(Year)
7 AGE
If LESS than
[ day ........ hrs.
Or ........ min. ?
& OCCUPATION
(a) Trade, profossion, or
particular kind of work
(b) General nature of industry.
business, or establishment -in
which employed (or emplo).
witome
The CAUSE OF DEATH* was as follows :
Interstitial Nephritis
9
(Duration)
........... yrs.
............... mos.
.............
ds.
Contributory.
Uremia
(SECONDARY)
(Duration) .. yrs.
mos. ............... ds.
(Signed)
grace & Joule
M.D.
april20
.............
1900 (Address).
Winthrop Mass
* If death followed injury or violence the certificate of death must be made ont by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death
yrs.
mos.
......
ds.
State ............ yrs. ............. mos. ............ ds ............
Where was disease contracted, If not at place of death ?.
Former or usual residence ..
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
alanis 2/ 19/20
ADDRESS
20 UNDERTAKER es dm
Winter
---..
(City or town.)
St. :
Ward)
[If death occurred in a hospital or institution, give its NAME Instead of street and number.]
2 FULL NAME
Mary ann. Westion
7 : manchen want may Con . Surton
[If married or divorced woman or widow give maiden name, also name of husband.] witten of Richard alexander. Westion
@RESIDENCE
79 Barndom Sto
PERSONAL AND STATISTICAL PARTICULARS
16 DATE OF DEATH
april
(Month)
18
(Day)
1020
(Year)
$ DATE OF BIRTH
Jeff 26
(Month)
(Day)
1831
88 V1.
6
mos.
21
ds.
........ yrs.
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Registered No. 72
17
I HEREBY CERTIFY that I attended deceased from
apre 5
to
1920.
april 18
191.2.
that I last saw her
...
.....
alive on
abril 16
.... m.
196
and that death occurred, on the date stated above, at
..............
9 BIRTHPLACE
(State or country)
england
10 NAME OF
FATHER
Henry Bunion
In the
V apr. 18.1920 STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation 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, Loco- motive 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 nccdcd. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dcaler," 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 household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically 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 occu- pation whatever, write None.
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