The Goldfield news. [volume] (Goldfield, Nev.) 1904-1911, 1907-07-20
OFFICE EBALrE DEPABTxUuT
ooxDxxExp. Nevada

Goldneld. New. July {. 1907.
to the Health Department Of the Town
At the regular meeting of the Health
Department, of the Town OF Go1dheld.
held at thsir ONCE July $; isS'; the fol soi,
The undersigned Board Of Health of
s snea, r Ssni OF 81 ,i GU,d ana co nsxs sixsn to
CUES sns AFFECTING the Health Conditions
S an 'n as : % result we ave unsnimousiy
agreed upon the following ordinances:
oADxHAHC1 no. \
TO THE UNDERTAKES
The information required in the GER
ttncate of DEATH. should be written
clearly and iesibly In the respective
Full name of deceased. II an infant
not named. write child of and give name
Age in years. months and days.
Sex and occupation.
Color: White. Black, negro. or Ne
ese. The terms "Mullatto." "Quadroon."'
etc; viii be included under the general
Write the Social Relation and state
length of residence and decedent in
Name Of Father ;,.m and an maiden nss..s name ,o Of
purpose of Identification.
Name of Country where the deceased
was born, also that Of parents Il In
Write in the exact locality Of death.
number and name of street and avenue,
streets located. also the number OF the
ward. If death occur at any hospital.
sanitarium or other institution, public
semi-public, or private, the name of
such institution must appeal in the
Certificate. Also. the last previous resi-
dence should be stated
Date of burial and name of cemetery.
or. If for burial beyond local cemeteries:
locality of the place Of burial.
No burial permit will be issued on a
certificate of any Physician not legally
TO THE PHYSICIAN
suggestions as to the Certihcate OF
insurance, and for many other purposes
the duration of the chief and determin-
ing cause Of. 81 death eat cb is rsagir sSd 70 Sur be
ton of contributing and consecutive
causes. 1t will often prevent annoying
delays or subsequent complications II
Certificates of Death bearing such
terms as Bright.s Disease, Kidney Dis
positively not be accepted, but will be
referred back to the certifying physi-
inuria, Hematemesis. Hemoptysis, Jaun-
dice. Pulmonary Edema, Uremia, Weak
complications only. whenever placed up
on the death certificate. should be in,
variably accompanied by the CHIEF and
determining cause with which they may
be associated.
The Indefinite and indiscriminate. use
Of the terms Cancer and Tuoercuiosis
involved. will be considered sufficient
cause for the rejection of the Certifi-
1t will be admitted that in a certain
proportion of cases the attending physi-
clan may be unable to determine with
es saatfttneW bs the tS Shie dce or primary tbe fact fa sheu ID
be mentioned on the Certificate,
When Death follows a surgical opera
ton the disease IN injury ryyer or eon sbonld
Every undertaken, or other person;
who may have charge ofoth tine a I nraal
erly filled out Certificate of the Death
and it's probable cause, in accor6ance
v With the form srG s paese present Py the ehe sam geat to
the Health Oficer or member OF the
Board of HEALTH; and obtain a burial
or transit mi, rs hermit an 1nef GeaS bod shI until III
such Burial or transit permit shall have
been procured. No interments shall be
made in the Cemeteries of the City .un-
less said Health Officer is satisfied OF
the correctness and reliability of the
Certificate of death presented for his
inspection. He shall have power to re-
ject Certificates which do not comply
with the provisions Of this section. or
the regulations of the Board of Health.
Any person who shal fail. neglect o
refuse to comply with the provisions or
requirements of this ordinance or who
shall violate any section thereof. shall
be liable upon conviction before the Pc.
lice Judge of said City, to a fine OF mo-
less than FIVE dollars ($5.00) nor more
thar Two Hundred Dollars ($2O0.00) and
costs incurred therein.
ORDNANCE no. 2.
CERTIFICATE OF BIRTH
STATE OF NEVADA p
COUNTY of Esmeralda
This is to certify. that the under
signed, .---.-----------