USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1922-1924 > Part 12
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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. 88, Sec. 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.
R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
County
Suffolk
City or Town
Winthrop
80 Saga
State(.
Mass
Registered No ..... ..
25'
Ave
St ............. .. Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Elden Wallace Jewell
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No
So Sagamore fur St.
Ward.
(If non-resident give city or town and State)
( Usual place of abode).
Length of residence in city or town where death occurred
years
months
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)
Married
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Florence
6 DATE OF BIRTH March 19 1873 ( Month) (Day) (Year)
Years
48
Months
11
Days
6
If LESS than I day, ........ his. or ....... min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED (a) Trade, profession, or particolar kind of work
Bookbinder
9 BIRTHPLACE (City)
(State or country)
10 NAME OF
FATHER
Edward Duvel?
11 BIRTHPLACE OF
FATHER (City )
At John 3
(State or country)
12 MAIDEN NAME
OF MOTHER
Mary Kennedy
13 BIRTHPLACE OF MOTHER (City) (State or country)
N.B Date.
14 Florence Sewell
Informant
(Address )
Se Sagamore que
15 Mar. 6.4922
Filed (Month) (Day) (Year)
REGISTRAR
20 UNDERTAKER
Frank E. Brown
ADDRESS Cas Boston
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued
Official position Wealth Ofan
Date of issne .. of permit Juk 28/2 % 397
000
MEDICAL CERTIFICATE OF DEATH
Fely
16 DATE OF DEATH
(Month)
25
1922
(Year)
(Day)
17 I HEREBY CERTIFY, That I attended deceased from July 6
1922 . to. Fely 25 1922 that I last saw here alive on July 24 . 19 22 and that death occurred, on the date stated above, at 2 5 am. The CAUSE OF DEATH was as follows :
Perniciono Cenamina
euchation)
.. yrs ...
X -. mos ..
X
ds.
CONTRIBUTORY
final nifuction
SECONDARY)
Primera (duration)
18 Where was disease contracted if not at place of death? no
X yrs X mos. 1/2
.ds.
Did an operation precede death ?
Date of.
no
What test confirmed diagnosis ?
(Signed)
Quette
Elalma
., M.D.
(Address)
maso
Fely
250
(Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Woodlawn
Everett
(Cemetery)
(City or town)
DATE OF BURIAL Fer 28-22
7 AGE PARENTS 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 (b) Name of employer
(City or Town)
2 FULL NAME
The Commonwealth of Massarinisetta
N.B.
Was there an autopsy ?
Laboratory
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise etatement of occupation ie 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, Stotionary fireman, etc. But in many cases, especially in industriai employments, it ie 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 foctory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealcr," etc., without more precise specification, as Doy laborer, Farm loborer, Laborer - Cool 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 ehould be taken to report spe- cifically the occupations of persone 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, 's indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Corcinoma, Sarcoma, etc., of ... .. (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); Meosles; Whooping cough; Chronic valvulor heort 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 eymptoms 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 ali 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 foliowing diseases, without explanation, as the sole cause of death: Abortion, celiulltis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipeias, 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 shali 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 contraeted, the duration of his last illness, when last seen alive by the physician or officer and tho 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 shali be issued untii there shaii have been delivered to such board, agent or clerk ... a satisfactory written statement containing the facts required by iaw to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certi- ficate of the attending physician, if any, as required by law, or in licu 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 heaith, or employed by it or by the seiectmen for the purpose, shaii upon application make the certificate required of the attending physician. If death is caused by violence, the medicai examiner shaii 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 violenee. - Gen. Laws, Chap. 38, Sec. 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:
(i) Attending physicians will certify to such deaths only as those of persone to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health Physicians wili 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 inciude 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 (leaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not dlsabied by recognized disease, and those of persons found dead.
. .
R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
(City or Towwy
1 PLACE OF DEATH
County.
Suffolk
Registered No. 2%
St.
.Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number) Late 100m
2 FULL NAME
Jackson
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No.
( Usual place of abode)
St.,
.....
.Ward.
(If non-resident give city or town and State)
Leogth of resideoce in city or town where death occurred
years
mooths
days.
How loog io U. S., if of foreign birth ?
years
mooths
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
termal
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 DATE OF BIRTH Feb-27 1922
( Month)
(Day)
(Year)
7 AGE
Years
Months
Days
If LESS thao
1 day, ........ hrs.
or ....... mio.
If STILLBORN, eoter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, professioo, or
particular kiod of work
(h) Name of employer
9 BIRTHPLACE (City)
(State or country)
10 NAME OF
FATHER
Narry, S. Jackson
11 BIRTHPLACE OF
FATHER (City)
(State or country)
Pa
12 MAIDEN NAME
OF MOTHER
Virgin. Eppley
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
Pa-
Date.
Feb 2 8
( Month)
( Day)
142 L
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
(Cemetery) (City or town)
DATE OF BURIAL
Mary-1922
15 nas. 6. 1922 Filed na (Month) (Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stao- dard certificate of death was filed with me BEFORE the burial or transit permit was issued
Official position ..
Date of issue of permit
Permil
399
100
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
PARENTS
14
Nauy
9. Jackson
Informant
(Address)
Mark @0
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
Fib
27
1922
(Day)
(Year)
17
I HEREBY CERTIFY, That I attended deceased from
Feb 21
1922
Fab 27
19
22
that I last saw h
alive on
19
and that death occurred, on the date stated above, at
m.
The CAUSE OF DEATH was as follows :
Still born
(duration)
-
L
.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 ?
200
What test confirmed diagnosis ?.
(Signed)
( 1 w Lay ton
M.D.
( Address)
Fort ranker mann
20 UNDERTAKER ER. Per.
ADDRESS
City or Town
No.
State
Fort Bak Htarluat
to
.yrs .....
20
The Commonwealth of Massachusetts
[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 pneumovia"); 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.
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 issued 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 case 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 ean 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, Sec. 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- wiso a description as full as may be, with tho 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.
-302
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
Danvers
(City or town)
Registered No. 71
County
Essex
State
Mass.
(Place of death)
Registered No ..
277
(Place of residence)
City or Town
Danvers
No.
Danvers State Hospital
St.
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Daniel Thurston
Mass.
City or Town
Winthrop No.
St.
(a) Residence.
State
(Usual place of abode)
Length of residence in city or town where death occurred
years
months
13
days
How long in U. S., if of foreign birth?
years
mouths
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
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
Camot be learned
6 DATE OF BIRTH (month, day, cannot be learned
7 AGE
73
Years
Months
Days
If LESS than I day, ........ hrs. or ........ min.
If STILLBORN, enter that fact bere
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work.
Sailor
(b) Name of employer
North Haven
9 BIRTHPLACE (city or town)
(State or country)
Ne.
10 NAME OF FATHER Solomon
Thurston
11 BIRTHPLACE OF FATHER (city or towncamden
(State or country)
Me.
12 MAIDEN NAME OF MOTHERJa ne Calderwood
North Hav en
13 BIRTHPLACE OF MOTHER (city or town) (State or country) Me
31/,1922Address)
Hathorne, Mass.
14
Informant
Custis Roch
(Address)
Hathorne, Mass.
15
Filed 3-3-
1922
Registrar of city or town where death occurred
Filed Mar 9, 19 22.
Registrar of city or town where deceased resided
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Woodlawn
Everett
DATE OF BURIAL
3/2
1922
20 UNDERTAKER C. R. Benson
ADDRESS
Winthrop
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.
20,000
16 DATE OF DEATH (month, day, and year)
Feb. 28, 1922.
17
I HEREBY CERTIFY, That I attended deceased from
Feb. 15,
22
Feb.
28,
22
19
that I last saw h
im
19
to
Feb.
28,
22
19
and that death occurred, on the date stated above, at
12.45A
m.
The CAUSE OF DEATH* was as follows :
Bronchopneumonia"primary
(duration)
. yrs.
mos
3
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
.yrs.
mos.
ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?.
no
Date of
Was there an autopsy ?.
yes
What test confirmed diagnosis autopsy
(Signed)
Harvey M. Watkins
M.D.
PARENTS
1 PLACE OF DEATH
(If in the Army or Navy of the United States, give rank, organization, etc.)
MEDICAL CERTIFICATE OF DEATH
alive on
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Public Health Association]
EXTRACI
FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
Statement of occupation. - Precise statement of occupation is very important, eo 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. Butin 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, ctc. If the occupation has been changed or given up on account of the DISEASE CAUBING 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.
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