Town of Winthrop : Record of Deaths 1922-1924, Part 200

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 200


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).


Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93 | Part 94 | Part 95 | Part 96 | Part 97 | Part 98 | Part 99 | Part 100 | Part 101 | Part 102 | Part 103 | Part 104 | Part 105 | Part 106 | Part 107 | Part 108 | Part 109 | Part 110 | Part 111 | Part 112 | Part 113 | Part 114 | Part 115 | Part 116 | Part 117 | Part 118 | Part 119 | Part 120 | Part 121 | Part 122 | Part 123 | Part 124 | Part 125 | Part 126 | Part 127 | Part 128 | Part 129 | Part 130 | Part 131 | Part 132 | Part 133 | Part 134 | Part 135 | Part 136 | Part 137 | Part 138 | Part 139 | Part 140 | Part 141 | Part 142 | Part 143 | Part 144 | Part 145 | Part 146 | Part 147 | Part 148 | Part 149 | Part 150 | Part 151 | Part 152 | Part 153 | Part 154 | Part 155 | Part 156 | Part 157 | Part 158 | Part 159 | Part 160 | Part 161 | Part 162 | Part 163 | Part 164 | Part 165 | Part 166 | Part 167 | Part 168 | Part 169 | Part 170 | Part 171 | Part 172 | Part 173 | Part 174 | Part 175 | Part 176 | Part 177 | Part 178 | Part 179 | Part 180 | Part 181 | Part 182 | Part 183 | Part 184 | Part 185 | Part 186 | Part 187 | Part 188 | Part 189 | Part 190 | Part 191 | Part 192 | Part 193 | Part 194 | Part 195 | Part 196 | Part 197 | Part 198 | Part 199 | Part 200 | Part 201 | Part 202 | Part 203 | Part 204 | Part 205 | Part 206 | Part 207 | Part 208 | Part 209 | Part 210 | Part 211 | Part 212 | Part 213 | Part 214 | Part 215 | Part 216 | Part 217 | Part 218 | Part 219 | Part 220 | Part 221 | Part 222 | Part 223 | Part 224 | Part 225 | Part 226 | Part 227 | Part 228 | Part 229


1 PLACE OF DEATH


(ISSUED UNDER THE PROVISIONS OF GENERAL LAWS, CHAPTER 38)


County


Suffolk-


State


Registered No.


City of Town Winthrop- Ambulance Wattu Pol. ~ Brown's drug Stores.


Ward


2 FULL NAME


Katherine F. Stedman.


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


(a) Residence.


No.


6 union Court, Charles brons


.Ward.


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


Length of residence in city or towo where death occurred


years


months


days


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


5 SINGLE. MARRIED, WIDOWED OR


DIVORCED (write the word)


Tidow


5a If married, widowed, or divorced HUSBAND of (or) WIFE of


6 AGE Years


Months


Days


If LESS than


1 day, ... brs.


or .


min.


If STILLBORN, enter that fact here


7 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kiod of work


at home


8 BIRTHPLACE (City)


Cannot be learned


Peter Fischer


10 BIRTHPLACE OF FATHER (City)


(State or country)


Germany


11 MAIDEN NAME


OF MOTHER


ME Margarik Kenzdeles


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


Umany


13


Informany


mislimie meball


(Address)


6 Cambridge Finance Laut


...


Filed


Sep. 2.24


(Month) (Day) (Year)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH.


august


20


19.24


(Day)


( Y car)


16 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows :


natural Loures: Pesumany Cardio-


vascular disease .


...


(Sudden death. )


(See reverse side for description for unknown person)


17 Where was injury sustained if not at place of death ?.....


(Signed)


Medical Examiner for ..


Sinf. K


Date


(Month)


(Day)


24


lyly.


( Year)


18 PLACE OF BURIAL, CREMATION, or REMOVAL Cedar Sur


(Kometery)


(Month (Day) (hear)


19 UNDERTAKER nocent De V Reade f


ADDRESS Charleston


20 Burial permit


issued by


Official position


UG 3 21 Date of issue.


Permit No. 17635


3 SEX S (b) Name of employer 9 NAME OF FATHER PARENTS 14 so that it may be properly classified under the International Classification of Causes of Death. See reverse side should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms, for extracts from the laws relative to the return of certificates of death. N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information (State or country)


13,041


DATE OF BURIAL gralon aug 30,1924 (City or town)


, M.D.


(Usual place of abode)


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


aug 20. 24


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 so that it can be classified under the inter- national classification of causes of death), 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. . . . - General Laws, Chapter 46, Section 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 . . . by a satis- factory certificate of the attending physician, if any, as re- quired 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 phy- sician who is a member of the board of health, or em- ployed 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 certificate . . . The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for regis- tration 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. - General 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. If a medical examiner has notice that there is within his county the body of such a person. he


shall forthwith go to the place where the body lies and take charge of the same. . Gen. Laws, Chap. 38, Sec. 6.


. He shall in all eases certify to the town clerk or regis- trar in the place where the deceased died his name and resi- dence, if known; otherwise a description as full as may be, with the cause and manner of death. - General 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 supposably 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 in- jury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


STATEMENT OF CAUSE OF DEATH


Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homi- cidal." "Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."


If investigation shows the death to have been due to dis- ease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"


DESCRIPTION (for unknown person)


NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained. - General Laws, Chap. 38, Sect. 14.


THIS CERTIFICATE CONSTITUTES SUCH PERMIT


2


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


County .... Middlesex


State ...


Mass.


Registered No.


156


(Place of residence)


St ..


Ward


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


2 FULL NAME


George J. Neeley


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


City or TownWinthrop


.No.


St.


Length of residence in city or town where death occurred


7


years


2 mooths


2'7 days.


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE, MARRIED. WIDOWED, OR


DIVORCED (write the word)


Single


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


6 AGE


Years


Months


Days


If LESS thao


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


or ........ mio.


If STILLBORN, enter that fact here


7 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


Grocery .... Clerk


(b) Name of employer


8 BIRTHPLACE (city or town)


(State or country)


Providence


Rhode Island


9 NAME OF


FATHER


Joseph Neeley


10 BIRTHPLACE OF


FATHER (city or town) Not . ... learned.


(State or country)


Ireland


11 MAIDEN NAME


OF MOTHER


margaret Carbon


12 BIRTHPLACE OF


MOTHER (city or town)


Not learned


(State or country)


Ireland


13


Lhformant


Hospital


2


14


Filed 8/23/ . 19 24


Registrar of city or towo where death occurred


Filed


Sep. 12, 19 24


Registrar of city or towo where deceased resided


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH.


(Month)


a


23.


Day;


1924


( Year)


16 I HEREBY CERTIFY, That I attended deceased from


May 26,


,19


17% Aug. 23,


. 19.


24


that I last saw h .... 1 MM.alive on.


Aug ....... 23


. 19.2.4. ,


and that death occurred, on the date stated above, at.6:30A. m. The CAUSE OF DEATH was as follows :


Tabes Dorsalis


More than


(duration)


1


yrs ....


moo ....


ds.


CONTRIBUTORY


(SECONDARY)


( duration)


.yrs ... " ..


.mos. de.


17 Where was disease contracted


if not at place of death ?


Unknown


Did an operation precede death ?.


10


Date of


Wao there an autopsy ?


NO


What teot confirmed diagnosis? Physical Exam.


(Signed) A. K. Drake,


. M.D.


(Address)


State Infirmary, Tewksbury,


Date.


23.


1924


lass.


¡Month)


(Day)


(Year)


18 PLACE OF BURIAL, CREMATION, OR REMOVAL


Tewksbury


Tewksbury


DATE OF BURIAL Aug. 28/24 19


(Cemetery) (City of town)


19 UNDERTAKER H. Louis Farmer


ADDRESS


Tewksbury


3799.


so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back PARENTS


of certificate.


enals, Juht.


Tewksbury


(City or town)


Registered No.


275


(Place of death)


City or Town


Tewksbury


No.


State Infirmary


(a) Residence. State.


(Usual place of abode)


50


[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 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 ehould 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 persone engaged in domestic service for wages, Es 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 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- mittce on Nomenclature of the American Medical Association.)


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


e


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- 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 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 wae 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 ite agent . . . or .. . from the clerk of the town where the person died; . . . No such permit shall beissued until there shall have been dellvered 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 sufficlent 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 persone as are eupposed 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- 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 euch 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 Physiclans will certify to euch 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.


A R-301 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH County. Suffolk


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


BOSTON


(City or town)


Registered


No.


1162


City or Town


vBoston


No.


439 Winthrop Street


St.,


Ward


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


2 FULL NAME


Dorothy M. Curtin


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


439 Winthrop Street


St.


Ward.


(a) Residence. No.


(Usual place of abode)


Length of residence in city or town where death occurrad


2


years


months


days.


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH


any


25


1924


(Month)


(Day)


(Year)


16


I HEREBY CERTIFY, That I attended deceased from


July 24, 1924, to


Quy 25, 19 24


that I last saw her


alive on


any 25-


1924.


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


m.


The CAUSE OF DEATH was as follows: Lung abocca


7 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


Factory Worker


General Electric E


Tast Beston


CONTRIBUTORY


(SECONDARY)


(duration) „yrs ..


17 Where was disease contracted


if not at place of death?


FOR WHAT?


Did an operation precede death?


use


Was there an autopsy?


Willder One Year. Was Bomperfection land.


What test confirmed diagnosis?


(Signed).


I Pay W Layton


M. D.


(Address)


withup mans


Data


( Month)


(Day)


(Year)


18 PLACE OF BURIAL, CREMATION DR REMOVAL


Hely Cross


Aur


DATE OF BURIAL


28tn 1924


(Cemetery)


(City or town)


19 UNDERTAKER


ADDRESS


Last B


ton.


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


A.C. Danielo


Official position.


Healthe Office


Date of issue of permit . 8/28/24


Permit ND. 792.


9. 3.9


I.B.


Loban Aner


.


9 NAME OF


FATHER


Thomas Curtin


10 BIRTHPLACE OF


FATHER (City)


Cambridg


Abbie Sullivan


12 BIRTHPLACE OF


MOTHER (City)


East Boston


Informant Thomas Curtin Father


(Address)


439 Winthrop Street


14


aug 29 24


Filed


(Month) (Day) . (Year)


REGISTRAR


'23-20 M1 00 000


3 SEX


4 COLOR OR RACE


Female


White


5a If married, widowed or divorced


HUSBAND of


(or) WIFE of


6 AGE


Years


24


Months


If STILLBORN, anter that fact here


(b) Nama of employer


8 BIRTHPLACE (City)


(State or country)


Lass.


11 MAIDEN NAME


OF MOTHER


PARENTS


(State or country)


Mass.


13


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


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


(State or country)


L'ass.


5 SINGLE, MARRIED, WIDOWED, DR


DIVORCED (write the word)


Single


Days


If LESS than


1 day .__ hrs.


or ____ min.


(duration)


yrs.


_mos. /


.ds.


mos.


11


ds


Quy 25.24


.


22


1924


State Massachusetts


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


-


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


(Approved by U. S. Census and American Public Health Association)


Statement of occupation .- Precise statement of occupation ig very important, so that the relative healthfulness of various pursuits can he known. The question applies to each and every person, irre- spective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Com- positor, Architect, Locomotive engineer, Civil engineer, Stationary fire- man, 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 "Lahorer," "Fore- man," "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 household only (not paid Housekeepers who receive a definite salary), may he entered as House- wife, Housework, or At home, and children, not gainfully 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 occupa- tion 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. Exam- ples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneu- monia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, meninges, 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 intercurrent) 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," "Collapse," "Coma," "Convul- sions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Ex- haustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia,". "Weakness," etc., when a definite disease can he ascertained as the cause. Always qualify all diseases resulting from childhirth or miscarriage, as "PUERPERAL septicemia," "PUERPERAL peritonitis," etc.


State cause for which surgicai 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 "primary"; if secondary, give primary cause.


Certificates wiil be returned for additional information which give any of the following diseases, without explanation, as the soie cause of death: Abortion, celiulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscarriage, 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 hospitai medical officer shall forth- with, 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 registra- tion a standard certificate of death, stating to the hest of his knowl- edge and helief the name of the deceased, his supposed age, the disease of which he died, defined as required hy section one, where same was contracted, the duration of his last illness, when last seen alive hy the physician or officer and the date of his death. ...- Gen. Laws, Chap. 46, Sec. 9.




Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.