Town of Winthrop : Record of Deaths 1922-1924, Part 105

Author: Winthrop (Mass.)
Publication date: 1922
Publisher:
Number of Pages: 1202


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1922-1924 > Part 105


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(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) Modical 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.


1 R -301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


Winthrop (City or town


1 PLACE OF DEATH


County


Suffolk


- State lass.


Registered No .....!


City or Tow


Northrop


No.


Northrop Community Hospital


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


2 FULL NAME


193 Pearl Que.


St.,


Ward. Beachworst, Mass.


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


days. How long in U. S., if of foreign birth? years ... months : days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male White


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


6 AGE Years


Months


Days


If LESS than 1 day, ....... hrs. or ........ min.


If STILLBORN, enter that fact here


Still born


7 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work. (b) Name of employer


(duration] .. yrs. ........... mos .. ds.


CONTRIBUTORY


(SECONDARY)


(duration)


.. yrs ..


mos. .........


.ds.


/17 Where was disease contracted


if not at place of death ?.


Did an operation precede death ? ho


Date of


Was there an autopsy ?.


no


What test confirmed diagnosis ?


(Signed)


Raymond B Parker, M.D.


(Address)


Winthrop


mars.


Date


June


12


1923


(Ydar)


(Month)


(Day)


RATE OF BURIAL


18 PLACE OF BUPAL, CREMATION, OR REMONAL - Nathrop


(Cemetery)


19 UNDERTAKER


Charles P. Bunusou St.


ADDRESS


20 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the borial or transit permit was issued. 2.2- Maury.


Official position,


Date of


Permit


,000.


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


instructions and extracts from the laws on back of certificate.


PARENTS


11 MAIDEN NAME! OF MOTHER Hannah Saffron


12 BIRTHPLACE OF


MOTHER (City)


(State or country)


Sweden


13 Arvid G. Skoglund Informant.


(Address)


14


Filed une -22.1923


(Month) (Day) (Year)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH ..


((Month)


11


1923


(Day)


(Year)


16 I HEREBY CERTIFY, That I attended deceased from


, 19 ..


., to ......


, 19


that I lost saw h ............. alive on , 19


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


m.


The CAUSE OF DEATH was as follows : Still for


8 BIRTHPLACE (City).


Winthrop.


(State or country


Mado.


9 NAME OF FATHER arvid G. Skoglund


10 BIRTHPLACE OF


FATHER (City)


(State or country )


Sweden.


Personal Observation


Winthrop June 13


(City or town)


1923


Healthe officer of permit 5//3/23


No. 597


9.12.


N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information


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


Baby


a by


Skoglund.


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


(a) Residence. No,


(Usual place of abode)


Length of residence in city or town where death occurred


years


months


Revers notifies


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, ete. 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 bo 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, ctc. 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 definito synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never 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, ete. 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," ete.


State cause for which surgical operation was undertaken.


(Recommendations on statement of cause of death approved by Com- mittee 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 FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertakeror 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 as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. ...- Gen. Laws, Chap. 46, Sec. 9.


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 town where the person died; .. . No such permit shall be issuod until thereshall have been delivered to such board, agent or clerk ... a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in ease of an original interment, by a satisfactory certi- ficate of the attending physician, if any, as required by law, or in lieu thereof a certificate 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, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certi- ficate. .. . The person to whom the permit is so given and the physi- cian certifying 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. - Gen. Laws, Chap. 114, Sec. 45.


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. - Gen. Laws, Chap. 38, Scc. 6.


. . . He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; other- wise a description as full as may be, with the cause and manner of death. -Gen. Laws, Chap. 38, Sec. 7.


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.


1 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. 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


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


Northrop. (City or town)


1 PLACE OF DEATH


County


Butfolk


State


Mars.


Registered No.


City or Town


Winthrop


218 Court Road


St., Ward


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


William Frederick Elliott.


2 FULL NAME


(a) Residence.


No.


218 Court Road St.


(Usual place of abode)


Length of residence in city or town where death occurred


15


years


months


days.


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


male


4 COLOR OR RACE


White


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


Married.


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


Mary T. Elliott.


6 AGE


Years


67


Months


Days


13


or ....... min.


If STILLBORN, enter that fact bere


7 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


Ourcer of alden daundry


Boston.


8 BIRTHPLACE (City)


(State or country


Quebec, Canada


9 NAME OF


FATHER


William G. Elliott.


10 BIRTHPLACE OF


FATHER (City)


Lowell,


(State or country)


Mass.


11 MAIDEN NAME


OF MOTHER


Mary Wilcox


12 BIRTHPLACE OF


MOTHER (City)


5Hunting tourelle,


(State or country)


Canada.


Date


(Month)


(Day)


( Year)


13 Mary T. Colliatt.


Informant.


(Address)


218 Court Rd.


14


June 22. 1923


(pionth) (Day) ( Year)


REGISTRAR


19 UNDERTAKER


Charles P. Benson Northrop St.


20 1 HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued S. P.Maury


Official position ...


je atthe officer Date of issue


Permit


0,13/23 No. 598


0,000.


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH


Month)


(Day)


(Year)


16


I HEREBY CERTIFY, That I attended deceased from


gume 9


0


1923


to


, 1923


that I last saw h \ alive on


19.23 .. ,


If LESS than


1 day ..


.... hrs.


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


3 2.


m.


The CAUSE OF DEATH was as follows :


Branche - pneumonia


.(duration) .... yrs ...


mos. 3 - 4 ds.


CONTRIBUTORY


myocarditis


(SECONDARY)


(duration)


... yrs ....


mos.


... ds.


17 Where was disease contracted


if not at place of death ?


Did an operation precede death ? no


Date of


Was there an autopsy ?


What test confirmed diagnosis ?..


nome


(Signed)


Harry 2.


Collina


.. , M.D.


(Address) .


103 mg. Une au SP


12


1923


3 18 PLACE OF BURIAL, CREMATION, OR/REMOVAL Pay more TE OF BURIAL Raymond Cemetery SV. Jungs. (Cemetery) (City or town)


RESS 147


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


Ward.


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


12


1923


(h) Name of employer


Danville


PARENTS


une 12. 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, Civilengineer, 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 laborcr, Laborcr - 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, ete. 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 (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 causation), using always the same accepted term for the same discase. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cercbrospinal 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, ete., of .......... (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease eausing 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,"' ete.), "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," ctc.


Stato cause for which surgical operation was undertaken.


(Recommendations on statement of eause 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 or registered hospital medical officer 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 as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. ...- Gen. Laws, Chap. 46, Sec. 9.


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 town where 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 containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory eerti- ficate of the attending physician, if any, as required by law, or in lieu thereof a certificate 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, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certi- ficate. . . . The person to whom the permit is so given and the physi- cian eertifying 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. - Gen. Laws, Chap. 114, Sec. 45.


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. - Gen. Laws, Chap. 38, Scc. 6.


. . . He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; other- wise a description as full as may be, with the cause and manner of death. -Gen. Laws, Chap. 38, Sec. 7.


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 sueh 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 dicd 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.


0


1


-


STANDARD CERTIFICATE OF DEATH


DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS


1 PLACE OF DEATH


County


Breath Suffolk


State


MASSACHUSETTS.


Registered No.


Township


Winthrop.


or Village


or


City


No.


Station Hospital, Ft. Banks, Lass .


St.


Ward


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


2 FULL NAME


Edna 1 .. Larkin Wyss


(a) Residence. No.


Fort Banks, Klass.


St.,


Ward.


(If nonresident give city or town and State)


mos.


ds.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female


4 COLOR OR RACE


White


5 SINGLE. MARRIED, WIDOWED,


OR DIVORCED (write the word)


Married


5a If married, widowed, or divorced


HUSBAND'Of


(or) WIFE of


Charles W. Wyss


6 DATE OF BIRTH (month, day, and year) nor.8.1885.


7 AGE


Years


37


Months


7


Days


8


If LESS than 1 day, ---- hrs. or ---- mln. Puerperal Septicemia.


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work -.


Housewife.


(b) General nature of Industry,


business, or establishment In


which employod (or employer)


(c) Name of employer


9 BIRTHPLACE (city or town)


Pubnico,


(State or country)


Nova Scotia,


10 NAME OF FATHER


Caleb & Larkin


11 BIRTHPLACE OF FATHER (city or town)


(State or country)


Nova Scotia


12 MAIDEN NAME OF MOTHER Isabelle Murphy


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


nova Scotia


18 Where was disease contracted


(duration)


- yrs.


mos.


ds.


if not at place of death ?


Did an operation precede death ?


Date of


Was there an autopsy?


NO .


What test confirmed diagnosis ?


Laboratory,


(Signed)


Day Weiter


Cant . M. C . M. D.


6/9,1923 (Address)


Bort Banks, Mass.


* 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.)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


DATE OF BURIAL


June 19.


192.3.


oakgrove


Plymouth


(Address)


Fort Banks Winthrop mass


15 Filed 192


REGISTRAR


20 UNDERTAKER


LR Bennison


ADDRESS


.


11-3184 S. a. Mogy


16 DATE OF DEATH (month, day, and year) June 16, 1923


17


23


I HEREBY CERTIFY, That I attended deceased from


June 7,


19


23, to ... une. 16,


,19.


that I last saw h.S.L.


.. alive on


June 16


23


19.


and that death occurred, on the date stated above, at 10: 30 A.


The CAUSE OF DEATH* was as follows:


(duration) Q


- yrs. 0


mos.


8


ds.


CONTRIBUTORY


(SECONOARY)


PARENTS


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


14


Informant.


Charles w wyss husband,


(Usual place of abode)


Length of residence in city or town where death occurred


yrs.


mos.


ds.


How long In U. S., If of foreign birth ?


yrs.


June 1 6.1923 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 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) 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 moro 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 None.




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