Town of Winthrop : Record of Deaths 1932, Part 53

Author: Winthrop (Mass.)
Publication date: 1932
Publisher:
Number of Pages: 486


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1932 > Part 53


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2 FULL NAME


Joseph D McDonald


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence. No ..


(Usual place of abode)


87 Shore Drive


..........


.. St., ..


Ward,


Winthrop.


(If nonresident, give city or town and state)


Length of residence in city or town where death occurred


yTs.


mos.


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


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE


(write the word)


MARRIED


WIDOWED


Sine DIVORCED


Single


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


7


AGE


67


Years


Months


Days


If less than 1 day Hours .. Minutes


OCCUPATION


8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ....


Meter Repairer


9 Industry or business in which


work was done, as silk mill,


saw mill, bank, etc ..


Boston Gas Co.


11 Total time (years)


10 Date deceased last worked at


this occupation (month and


year)


1932


spent in this


occupation28 yr.6.


12 BIRTHPLACE (City)


(State or country)


Pr Edw Island


PARENTS[


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Pr. Edw Island


15 MAIDEN NAME


OF MOTHER


Mary McDonald


16 BIRTHPLACE OF


MOTHER (City) ...


(State or country)


PEI


25m-2-30. No. 7997-e


A TRUE COPY


ATTEST:


(Registrar of city or towr where death occurred)


3/7/32


DATE FILED


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


March


2


1932


(Month)


(Day)


(Year)


19 | HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully)


Terminal broncho pneumonia Pneumococcus meningitis Multiple injuries including subdural ..... hemorrhage ..


20 If death was due to external causes (VIOLENCE) fill in the following : Accident,


Suicide or


Homicide ?


Date of injury


2/1 & 2/22/19


32


Where did


injury occur ?


Boston


Manner of


1. Fall while alighting from a trair


Injury.


2. - Struck by an automobile


Nature of


Injury


21 Was disease or injury in any way related to occupation of deceased?


If so, specify.


(Signed)


I .... Leary.


(Address).


Boston, Lass.


Date


3/3/1932


22 PLACE OF BURIAL.


CREMATION OR REMOVAL


Soursis PSI


(Cemetery)


(City or town)


DATE OF BURIAL


Mar


5,


193.2.


23 NAME OF


J S Waterman & Sons


UNDERTAKER


Boston, Mass.


ADDRESS


SEP 2


Received and filed


1932


19


(Registrar of City or Town where deceased resided)


1


PLACE OF DEATH


(County)


Boston


(City or Town)


No. . ...


Boston City Hospital


St.,


Ward


(If U. S.


War Veteran,


specify WAR)


134


Peter N McDonald


17


Informant


(Address)


Boston, Mass.


M. D.


(City or town and State)


13 NAME OF


FATHER


Angus McDonald


March 2, 1932


21520


DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS


1. PLACE OF DEATH


County


Crie


State


te new York


Registered No.


2170


Township


Buffalo


City


No.


For Village


Dalo City Hosp.


St.


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


Length of residence in city or town where death occurred


yrs.


__ mos. ____ eds. How long in U. S. If of foreign birth?


-- yrs.


._ mos. _____ ds.


135


2. FULL NAME


Henry moore


St.,


Ward.


Winthropo mars


(a) Residence: No.


(Usual place of abode)


(If nonresident give city or town and State)


-


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3. SEX


male black


4. COLOR OR RACE


5. SINGLE, MARRIED. WIDOWED,


OR DIVORCED (write the word)


single


I HEREBY CERTIFY, ThatI attended deceased from


1432 to


apr. 5


19_32


5a. If married, widowed, or divorced


HUSBAND of


(or) WIFE of


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


Jan 21, 1999


if LESS than


1 day,


or


. min.


The principal cause of death and related causes of importance


where as follows:


Enherculano meningitis


Dale of onset


8. Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ..


Labores partir)


9. Industry or business in which


work was done, as silk mill,


Saw mill, bank, etc.


Theater


10. Date deceased last worked at


this occupation (month and


year)


11. Total time (years)


spent in this


occupation


ther contributory causes of Importance:


forherculaus leteomyelitis


Hrist - Carcinonettlane


Rinho Penis


12. BIRTHPLACE (city or town)


Bastage


(State or country) mass.


13. NAME


alan moore


14. BIRTHPLACE (city of town) Barbaday


(State or country)


Hustondies


15. MAIDEN NAME minnie Smith


16. BIRTHPLACE (city or town)


Cimberet


(State or country)


mano.


17. INFORMANT


Ruth @ muller


(Address)


462 Orider St.


18. BURIAL CREMATION, OR REMOVAL Place Vinstlunk, Mas Dato apr. 6. 19420


19. UNDERTAKER Tardner D. force (Address) 453 Dave


20. FILED apr. 5 1


In H. Westinghouse Registrar.


(Signed)


462 Frider St.


9 1932


SEP


o 11-10031 FATHER MOTHER OCCUPATION is very important. See instructions on back of certificate. state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of Information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should OCCUPATION


7. AGE


Years


23


Months


2


Days


15


21, DATE OF DEATH (month, day, and year) apr. 5, 1932


I fast saw havelive on. apr 5 19_8 _? death is sald


to have occurred on the date stated above, at5:55Cm.


What test confirmed diagnosis? Valaratings there an autopsy? 1.


23. If death was due to external causes (violence) fill in also the following:


Accident, suicide, or homicide?


Date of injury.


19


Where did injury occur? (Specify city or town, county, and State) Specify whether Injury occurred In industry, in home, or in public place.


Manner of injury


Nature of injury


Was disease or injury in any way related to occupation of deceased? 24.


If so, specify


abel Levitt


M. D.


Ward


or


STANDARD CERTIFICATE OF DEATH


Name of operation


Date of


UNITED STATES STANDARD CERTIFICATE OF DEATH


Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the deceased had retired from business, report the occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housewife in answer to Question 8 and own home in answer to Question 9. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as servant-private family, cook-hotel, etc. For a person who had no occupation whatever write none. To be complete, an occupation return must state:


8 .- The trade, profession, or particular kind of work done.


9 .- The industry or business in which the work was done.


10 .- The month and year the deceased last worked at the occupation. 11 .- The number of years the deceased followed the occupation.


In stating the occupation, avoid the use of such indefinite terms as "employee," "worker," "operative," etc. Find out the particular kind of work done and return that, as spinner, weaver, etc.


In stating the industry or business, avoid the use of such general terms as "store," "factory," "mill," etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.


Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, mining engineer, stationary engineer, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic," but give the exact occupation, as carpenter, painter, machinist, etc. Distinguish carefully between retail merchants and wholesale merchants. A person who sells goods should be called a salesman and not a clerk.


Statement of cause of death .- Cause of death means the disease, injury, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease or injury causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under other contributory causes of importance, name other important diseases or injuries. Examples:


Example I


Example II


The principal cause of death and related causes of importance were as follows:


Date of onset


The principal cause of death and related causes of importance were as follows:


Date of onset


Arteriosclerosis


1915


Attack of epilepsy


1 week ago


Chronic interstitial nephritis


1921


Run over by street car


1 week ago


Cerebral hemorrhage


July 5, 1927


Peritonitis


3 days ago


Other contributory causes of importance:


Other contributory causes of importance:


Gallstones


May 1, 1923


Gastroenteritis


1 year


ADDITIONAL SPACE FOR FURTHER STATEMENTS BY PHYSICIAN


U. S. GOVERNMENT PRINTING OFFICE: 1930


c11-3184


Cefor. 5,19 a 1


32


I R-303 B


Suffolk


PLACE OF DEATH


(City or Town! Ocean Die


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registered No.


136


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


St., ...


.. Ward


(If deceased is a married, widowed or divorced woman, give also maiden name.)


(a) Residence.


No ..


123 Locust


.St.


.....


.Ward,


Winthrop


(If nonresident give city or town and state)


(Usual place of abode)


Length of residence in city or town where death occurred


1 yrs. 10


mos.


days.


How long in U. S., if of foreign birth? 47


mos. -


days.


PERSONAL AND STATISTICAL PARTICULARS


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Widowed


Ellen M. Cabe


(Give maiden name of wife in full)


(Husband's name in full)


6 IF STILLBORN, enter that fact here.


7 67 Years - Months. Days


8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc.


Retired Longshoreman


10 Date deceased last worked at 11 Total time (years) spent in this 35


occupation ..


Delande


13 NAME OF


FATHER


William I Gave


14 BIRTHPLACE OF


FATHER (City)


Ireland


15 MAIDEN NAME


OF MOTHER


Bridget Grown


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Dieland


17 Mrs. James 15. Murray


Informant (Address) 123 Locust St., With.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wm. D. Childress (Signature of Agent of Board of Health or other)


Hearthe Officer (Official Designation) (Date of Issue of Permit)


8/8/32


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: /(If an injury was involved, state fully.) Natural Causes Frates


chung ngance report dispose ...


(See reverse side for description for unknown person)


20 IN WHAT CITY OR TOWN


WAS INJURY SUSTAINED ?.


(Signed)


Willing Hoy Willys


, M. D.


(Address)


Date Grey /1991


21 PLACE OF BURIAL


CREMATION OR REMOVAL


Holy Cross Malden


Cemetery)


(City or town)


10


1932


22 NAME OF


UNDERTAKER


DATE OF BURIAL


Wat Pelly


ADDRESS


IT meridian SO. 5.10.


19


Received and filed.


AUG 15 1932


(Registrar)


5m-2-'30. No. 7997-c


(County)


1


No.


2 FULL NAME


3 SEX


4 COLOR OR RACE


White


Male


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


AGE


OCCUPATION


12 BIRTHPLACE (City)


(State or country)


PARENTS


of Death. See reverse side for extracts from the laws relative to the return of certificates of death.


DEATH in plain terms, so that it may be properly classified under the International Classification of Causes


9 Industry or business in which


work was done, as silk mill,


saw mill, bank, etc.


information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of (State or country)


Peter Walsh


(If U. S.


War Veteran,


specify WAR)


1932


If less than 1 day .Hours .Minutes


this occupation (month and


year)


2/ay/1930


EXTRACTS


FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS


GOVERNING THE RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital 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 regis- tration 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 required by section one, where same was con- tracted, 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 or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no under- taker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, 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 certificate 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 physician 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 certificate. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician 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 .- Chap. 114, Sec. 45, G. L., as amended.


No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the


town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made .. . . - Chap. 114, Sec. 46, G. L. as amended


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 ;...- General 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. -General Laws, Chap. 38, See. 7.


... The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.


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 injury 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, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."


If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorr- hage 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, Sec. 14.


THIS CERTIFICATE CONSTITUTES SUCH PERMIT


ing, 7,1939


dererf. Nalea


R-301


PARENTS information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state OCCUPATION.


100m-11-30. No. 605-b


1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Wm. A. Childress


(Signature pf Agent of Board of Health or other)


1 Healthe officer 8/10/32


(Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF DEATH August


8th,


1932


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY, That I attended deceased from


Aug ..... ],


193.2 .. , to ..


.Aug . 8,


19.3.2.


I last saw h .... i.m.alive on


Aug .... 8,


19.32., death is said


to have occurred on the date stated above, at .. 2 .: 35P.m. The principal canse of death and related causes of importance in order of onset were as follows:


Date of Onset


Years


6


Months


6


Days


Soldier


9 Industry or business in which work was done, as silk mill, saw mill, bank, etc .... U.S .Army


11 Total time (years) spent in this occupation ..


If less than 1 day -- .. Hours. ..... .. Minutes 1.Appendicitis, acute, gangrenous, fulminating. 2. Peritonitis, acute, suppurative, generalized, severe, due to No.1. 3.Toxemia, due to No. 2.


Contribatory canses of importance not related to principal cause: -


Name of operation ..


Appendectomy


Date ofAug.5,1932.


What test confirmed diagnosis ?.... --


Was there an autopsy? Yes .


20 Was disease or injury in any way related to occupation of deseased ?.


No ..


If so, specify.


--


(Signed)


A.W.Kenner,Major,Ir.C, USA ...... , M. D.


(Address)


Ft .Banks , Mass.


Date Aug . 9.19 32.


21 PLACE OF BURIAL,


U.S.Army Cemetery,


CREMATION OR REMOVAL


Ft .Devens, Mass.


(Cemetery)


August


Sy or town)


32


DATE OF BURIAL


19


22 NAME OF


UNDERTAKER


Chas. R. Bennison,


ADDRESS


159 Winthrop St. ,Winthrop, Mass.


Received and filed


AUG 15 1932


19


(City or town making return)


Registered No.


137


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


2 FULL NAME


.... Francis Mclaughlin, ASN-6696843 Co.L.13th Inf .USA ...


(If deceased is a married, widowed or divorced woman, give also maiden name.)


-


(If U. S.


War Veteran,


specify WAR)


--


(a)


Residence. No.


Fort Devens, Mass


.St., ..


............ Ward,


Ayer., ... Mass.


(If nonresident, give city or town and state)


Length of residence in city or town where death occurred 0 yrs. O mos. 7


days.


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


-- yrs. --


mos. --


days.


PERSONAL AND STATISTICAL PARTICULARS


(write the word)


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


Single


5a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)


(Husband's name in full)


PLACE OF DEATH


Suffolk


(County)


Ayer nulpen - 8/25/32 The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


Winthrop (City or Town) No. Station Hosp. Ft Banks ,Mass. St.,. Sur.g ........ Ward


1


(Usual place of abode)


3 SEX


4 COLOR OR RACE


White


Male


(or) WIFE of


6 IF STILLBORN, enter that fact here. ---


7


AGE


24


8 Trade, profession, or particular


kind of work done, as spinner,


sawyer, bookkeeper, etc.


10 Date deceased last worked at


this occupation (month and


year) ... July 31 ,1932.


12 BIRTHPLACE (City).


Boston,


14 BIRTHPLACE OF


Informant


CAUSE OF DEATH 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.


FATHER (City) ...


Boston,


(State or country) Mass.


13 NAME OF


FATHER


James J. Mclaughlin,


(State or country)


Mass,


15 MAIDEN NAME


OF MOTHER


Rebecca A. Ginn,


16 BIRTHPLACE OF


MOTHER (City)


Provincetown,


(State or country)


Mass.


17 Mrs.R.A.Mclaughlin, Mother,


(Address)


171 Forrest Hill St., Jamaica Plains


(Registrar)


A TRUE COPY, ATTEST:


Revised United States Standard Certificate of Death Cinq 8, 19 33


Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some cntry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework in answer to Question 8 and own home in answer to Question 9. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation what- ever write none.


To be complete, an occupation return must state:


8 .- The trade, profession, or particular kind of work done.


9 .- The industry or business in which the work was done.


10 .- The month and year the deceased last worked at the occupation.


11 .- The number of years the deceased followed the occupation.


In stating the occupation, avoid the use of such indefinite terms as "employce," "worker," "operative," etc. Find out the parti- cular kind of work done and return that, as spinner, weaver, etc.


In stating the industry or business, avoid the use of such general terms as "store,' "factory, " "mill," etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.


Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, mining engineer, stationary engineer, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic, " but give the exact occupation, as carpenter. painter, machinist, etc. Distinguish carefully between retail merchants and wholesale merchants. A person who sr lls goods should be called a salesman and not a clerk.


Statement of cause of death .- Cause of death means the disease, or complication which causes death, not tle mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.




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