USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1902-1903 > Part 1
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1
FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
Name,
mary
4.
Howard
Sex Female Color, white
Date of Death
lan
5-
1902; Age, J4 Years,
10
Months,
8
Days.
{ If married, widowed }
Mary A. Bowen
Maiden Name, or divorced
Husband's Name,
Elbudge S. Howard
Single, Married, Widowed or Divorced,
married Occupation,
at home
Place of Birth,
Canada . 2.
*Place of Death, Chelmsford Maso
Name of Father,
John a. Bowen
Birthplace of Father,
Canada P 2,
Maiden name of Mother,
Derusha E Kenney
Birthplace of Mother,
Vermont
Place of Interment, (give name of cemetery)
Edson Cemetery
Dated at.
Lowell
Signature and
b. m. young the
place of business
on ...
lan 6,
1902
of Undertaker
33 Trescott SI
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased t Many H. Howard Age, 5& V. 10 M, 8 D.
Place and Date of Death,
died at ..
Chelmsford Jan 5. 902
Disease or Cause of Death, #
Pleuro - Pneumonia
-
5 days.
Duration of Sickness.
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence
Umara Howard
M. D.
of
2
Chelmsford
Date of Certificate
Jan, 6m
Agent Board of Health.
* Give also street and number, if any.
t Give sex of infant not named. If still-born, so state. If child died immediately after birth, so state.
# If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
LINADES NARD COUNCK 5
{ If out of town }
Chelmsford mass
*Residence
{ also state fully, }
15
City Physician
No. ..... RETURN OF THE DEATH
OF
1
at
I
Date,
Filed,
I
Acts of 1897, Chapter 444. [EXTRACTS FROM, SECTIONS 6, 7, 8, 10, 11 AND 12.] 1
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice tlrereof to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which the vessel first arrives after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION. 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION II. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars,
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section t, to the board of health or to the clerk of the city or town in which the death occurred.
16
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
Name,
1
Sex,. .Color,
Date of Death, Arzu
)
190 ; Age, ...
.... Years, ......
Months,
Days.
Maiden Name, { If married, widowed } or divorced.
Husband's Name,
Single, Married, Widowed or Divorced, Occupation,
*Residence, { If out of town, }
? also state fully.
Place of Birth,
*Place of Death,
Name and Birthplace of Father, 6
Maiden Name and Birthplace of Mother,
Place of Interment, (Give name of Cemetery), ...
Dated at
on January 6th
190 2.
place of business
of Undertaker.
Chiline gril
PHYSICIAN'S CERTIFICATE.
Frederick Weelburg
Age, 8. 4 M. 28 D.
Place and Date of Death, died at
-
Primary,
Disease or Cause of Death, } Secondary,
Duration, onunk
Duration, .....
I certify that the above is true to the best of my knowledge and belief.
JElarney
Signature and Residence S of
3
Certifying Physician.
Date of Certificate,
190 2.
* Give also streAt ona
med. If still-born, so state.
wiary Cause.
Countersign and trum.
Agent of Board of Health.
Name and Age of Deceased, t
Signature and
A. G.
Jamay 5th 190 %
M. D.
Rec FORM C.
No.
RETURN OF THE DEATH
OF
at
Date,
190
Filed,
190
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death. SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funcreal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of health or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, ACTS OF 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefrom, until a permit thercfor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has been furnished, with a physician's certificate of the cause of death. When such statement and certificate are delivered to the Board of Health, the board or agent shall forthwith countersign and transmit the same to the clerk of the city or town for registration.
SECTION 5. Penalty for violation not exceeding fifty dollars.
FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
Name, Duncan Sex, M
Color, W
Date of Death,
Stillborn 9am 12 th 1902; Age,
.Years,
Months,
Days.
Maiden Name, { If married, widowed ) or divorced.
Husband's Name,
Single, Married, Widowed or Divorced, Occupation,
*Residence, { If out of town, } ? also state fully. 1. Chelmsford
Masz
Place of Birth,
*Place of Death,
Si Chetime ford Mark.
Name and Birthplace of Father, aquatica E Duncan Ni Chelinfor mara Maiden Name and Birthplace of Mother, Dairy & Ripley S. Chelmsford mark
Place of Interment, (Give name of Cemetery), Riverside Cometer - N. Chetmaxivil ~
Dated at
A. Chelmsford
John brazinel fr.
on
Jur 13th
1902
Signature and
place of business
of Undertaker.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased, f
luncar
Age, Y. M. D.
Place and Date of Death,
died at
Stutberth
Dary 12 1902
Primary, Disease or Cause ) of Death, ¿ Secondary,
Duration,
Duration,
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence S of Certifying Physician.
7.1. Chelunder
Date of Certificate,
Jay 13
1902
* Give algo street and number, if any. | Give sex of infant not named. If still-born, so state.
t If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause. 1.
Countersign and transmit to the clerk of the city or town.
Agent of Board of Health.
2
M. D.
No.
RETURN OF THE DEATH
OF
.
at
.
Date,
190
1
Filed,
190_
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred. 25
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the _
board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death. - SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of health or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, ACTS OF 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefrom, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has been furnished, with a physician's certificate of the cause of death. When such statement and certificate are delivered to the Board of Health, the board or agent shall forthwith countersign and transmit the same to the clerk of the city or town for registration. .
SECTION 5. Penalty for violation not exceeding fifty dollars.
Rec. FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH To the Clerk of the City or Town In which the death occurred.
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
Name,
Thomas 4 tinmich
Sex Color,
Date of Death Fail 19"
1902; Age,.
36
Years,
Months,
Days.
Maiden Name,
or divorced
Husband's Name,.
Single, Married, Widowed or Divorced,
Chelmsford Masz
*Residence
( also state fully, §
Place of Birth,
Chelmsford Mass
*Place of Death,
Chelmsford
Mass
Name of Father,
Thrones Franck
Birthplace of Father,
, Cheland
Maiden name of Mother,
Cathrine Mã Kermedis
Birthplace of Mother, Ireland.
Place of Interment, (give name of cemetery) St Patricks Lowwell Mass
Dated at 26
Dawell
Signature and
Ich 7 Rogers.
on. 18"aan. ........ 1902
place of business
2816 Central Se
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased t
............. Age, ....... .. Y.
M. D.
Place and Date of Death,
died at.
I
Disease or Cause of Death, #
Duration of Sickness.
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence
M. D.
of
City Physician
Date of Certificate
I
* Give also street and number, if any.
t Give sex of infant not named. If still-born, so state. If child died immediately after birth, so state.
# If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Rec'd Jan 20
Agent Board of Health.
TRADES LANCOUNCH 5
18
( If married, widowed }
Occupation,
Labores
{ If out of town }
of Undertaker
No. ......
RETURN OF THE DEATH
OF
at
I
Date,
Filed,
I
Acts of 1897, Chapter 444. [EXTRACTS FROM SECTIONS 6, 7, 8, 10, 11 AND 12.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of liealtli or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which the vessel first arrives after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION. 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION II. In case the deceased was a soldier wlio served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section t, to the board of health or to the clerk of the city or town in which the death occurred.
FORM O.
Commonwealth of Massachusetts.
..
RETURN OF A DEATH
To the Clerk of the City or Town In which the death occurred.
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
Name, -
Charles TShannehan Sex Female Co or, White
Date of Death
Jan 18, 1902; Age,
8/
.Years,
y
Months, ..
Days.
Maiden Name,
or divorced
d, widowed
Husband's Name,
,
Single, Married, Widowed or Divorced,
Widowed Occupation,
none
*Residence
{ also state!
{ If out of town }
Chelmsford Mass
Place of Birth,
England
*Place of Death,
Chelmsford mass
Name of Father,
John Skannehan
Birthplace of Father,
England
Maiden name of Mother,
White
Birthplace of Mother,
England
Place of Interment, (give name of cemetery)
Edson Cemetery
Dated at.
Lowell
Signature and
B.M. Young
rung Ales
on ..
Jan 18.
902
of Undertaker
33 Prescott St
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased Charles TShannehanAge, 81 V.
Place and Date of Death,
Disease or Cause of Death,#
Duration of Sickness ..
I certify that the above is true to the best of my knowledge and belief.
Signature and Residence
M. D.
of
City Physician
Date of Certificate
Jam 20
1902
Agent Board of Health.
* Give also street and number, if any.
+ Give sex of infant not named. If still-born, so state. If child died immediately after birth, so state.
If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Read fare 21
TRADES IM COUNCIL 5
19
her
No.
place of business
M, - D.
died at Chelmsford Jan 18 902
No ... RETURN OF THE DEATH
OF
at
I
Date,
Filed,
I
Acts of 1897, Chapter 444. [EXTRACTS FROM SECTIONS 6, 7, 8, 10, 11 AND 12.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or, to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which the vessel first arrives after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION. 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts. SECTION II. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars,
SECTION 12. Any person having charge of the funereal rites preliminary. the interment of a human body shall obtain the physician's certificate made in accordance with section Io, and turn it, together with the facts requ 4 hv section i, to the board of health or to the clerk of the city or town in v ch the death occurred.
20
FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH.
To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH INK, ALL NAMES TO BE IN FULL.)
Name,
Mary Frances Parles
Sex,
.Color,
Date of Death,.
January 31
1902; Age, 35 Years,
Z_Months,.
24 Days.
Maiden Name,
{ If married, widowed }
Mary 1. Petero
or divorced.
Husband's Name,_
Um MM. Parles
Single, Married, Widowed or Divorced,
Married Occupation,
Housewife
Chelmsford
*Residence, { If out of town, }
? also state fully. S
Blue Hill Maine.
Place of Birth,
*Place of Death,
Chelmsford
Name and Birthplace of Father,
Rufus Peters, Blue Hill Maine
Maiden Name and Birthplace of Mother,
Mary Jane Clark, Elleworth Maine
Place of Interment, (Give name of Cemetery),
Pine Ridge Crueton,
Dated at
January 31
on
190 2
Signature and
place of business
of Undertaker.
Chelmsford
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceased,
Place and Date of Death,
- Primary,
died at.
Technical Fever
fever
C
Duration,
3 make -
Duration,
I certify that the above is true to the best of my knowledge and belief.
Umara Itowared.
Signature and Residence S
of
Certifying Physician.
Chichnoporef, Vilaza.
M. D.
Date of Certificate,
Fatachary 1-
190~2.
* Give also street and number, if any. t Give sex of infant not named. If still-born, so state.
t If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Countersign and transmit to the clerk of the city or town.
Agent of Board of Health.
Reca Fer2
Mary Francie Parle.
Age, 35 V. / M. 2.4D.
January 3/ 1902.
Disease or Cause
of Death, ;
Secondary,
Halten Perhang
»
No ..
RETURN OF THE DEATH
OF
at
Date,
190.
Filed,
190
[EXTRACTS FROM CHAPTER 444, ACTS OF 1897.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives after such death. SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars.
SECTION 10. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION 11. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to the interment of a human body shall obtain the physician's certificate made in accordance with section 10, and return it, together with the facts required by section 1, to the board of health or to the clerk of the city or town in which the death occurred.
[EXTRACTS FROM CHAPTER 437, ACTS OF 1897.]
SECTION 1. No human body shall be buried in a city or town or removed therefrom, until a permit therefor shall have been received from the proper authorities. No such permit shall be issued until a written statement, as required by law, has been furnished, with a physician's certificate of the cause of death. When such statement and certificate arc delivered to the Board of Health, the board or agent shall forthwith countersign and transmit the same to the clerk of the city or town for registration.
SECTION 5. Penalty for violation not exceeding fifty dollars.
FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH. To the Clerk of the City or Town in which the death occurred.
Name, .....
Laura
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
manseau
Sex, Le Color,
Date of Death,
Spel 15 902; Age, 5 Years, -
Months,
Days.
Maiden Name,
{ If married, widowed į
or divorced.
1
Husband's Name,
Single, Married, Widowed or Divorced Occupation
*Residence, {also state fully. § { If out of town, )
Chelmsford Center
Place of Birthı,
* Place of Death,
Chelmsford Counter
manseau
Birthplace of Father,
Maiden Name of Mother, Efilia Ro
Birthplace of Mother,
(Gangga
Place of Interment, (Give name of Cemetery),
Dated at get 5 902 011
Signature and place of business of Undertaker. 1
1738 hiernoch
PHYSICIAN'S CERTIFICATE.
Laura
Manchen
.Age, 5
Y.
M D.
Place and Date of Deatlı,
Disease or Cause of Death,+
Diphtheria (? ) I
Duration of Sickness,
fru day
I certify that the above is true to the best of iny knowledge and belief.
J. J. Orwell
.. M. D.
signature and Residence ) of
No. 3 Stica
Date of Certificate
City Physician. Fiat. 15" 1902
# Give also street and number, if any.
+ Give sex of infant not named. If still-born, so state. If child died immediately after.birth, so state.
* If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Canse.
5
Read Fir 15
21
Ree
archambault
Name and Age of Deceasedt
died at Chahurford
Name of Father, Poryh Ct.
Gamada
No.
RETURN OF THE DEATH
OF
at
Date,
I
Filed,
I
...
Acts of 1897, Chapter 444. 1 [EXTRACTS FROM SECTIONS 6, 7, 8, 10, II AND 12.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred.
SECTION 7. The commanding officer of a vessel shall give notice of the death of any person under his charge to the board of health or to the clerk of the city or town within the Commonwealth at which his vessel first arrives · after such death.
SECTION 8. Penalty for neglect to comply with the requirements of sections 6 and 7, five dollars. SECTION IO. A physician who has attended a person during his last illness shall forthwith after the death of said person, upon request, furnish for registration a certificate setting forth the required facts.
SECTION II. In case the deceased was a soldier who served in the war of the rebellion, give both the primary and the secondary or immediate cause of death as nearly as he can state the same. Penalty for refusal or neglect, ten dollars.
SECTION 12. Any person having charge of the funereal rites preliminary to tlie interment of a human body shall obtain the physician's certificate made in accordance with section Io, and return it, together with the facts required by section I, to the board of health or to the clerk of the city or town in which the death occurred.
1
Bcc
FORM C.
Commonwealth of Massachusetts.
No.
RETURN OF A DEATH. To the Clerk of the City or Town in which the death occurred.
(FILL OUT WITH INK.
ALL NAMES TO BE IN FULL.)
Name,
William Redmond
Male Sex, Male Color,
White
Date of Death,
Feb. 8
1902. ; Age, .... 58 Years,. |
Months, 13 .Days.
Maiden Name,
1
or divorced.
Husband's Name,
Single, Married, Widowed or Divorced,
Married Occupation,
Farmer.
*Residence, ¿ also state fully. §
( If out of town, {
South Chelmsford
Place of Birth,
Ireland
* Place of Death,
South Chelmsford
Name of Father,
andrew Redmond.
Birthplace of Father,
Scotland
Maiden Name of Mother,
anna Mº Cracken:
Birthplace of Mother,
Scotland
Place of Interment, (Give name of Cemetery).
South Chelmsford.
·
Dated at
South Chelmsford
place of business
of Undertaker. 1
Signature and
S
Daniel & By an
011. Feb. 8.
190.2.
So. Chelmsford.
PHYSICIAN'S CERTIFICATE.
Name and Age of Deceasedt
Redmond
58
Age,
V.
/ M. 13
D.
Place and Date of Deatlı,
Disease or Cause of Death,¿
Pulmonary
Ofthisis -
Duration of Sickness,
I certify that the above is true to the best of my knowledge and belief.
Cimara Howard
M. D.
Signature and Residence of City Physician.
Date of Certificate 4.8
1902
* Give also street and number, if any.
+ Give sex of infant not named. If still-born, so state. If child died immediately after birth, so state.
If a Soldier or Sailor in the War of the Rebellion, give both Primary and Secondary Cause.
Read Feb. 8
5
TRADES LATIN COUNCIL
{ If married, widowed }
2.2
died at
So. Chelmsford
46.8 .902
1902
-
No. RETURN OF THE DEATH
OF
at
Date,
I
Filed
I
Acts of 1897, Chapter 444. [EXTRACTS FROM SECTIONS 6, 7, 8, 10, II AND 12.]
SECTION 6. Every householder in whose house a death occurs, the oldest person next of kin present at the time of the death of any of his kindred, or the person in charge of an institution in which a death occurs, shall, within five days after the date of such a death, give notice thereof to the board of health or to the clerk of the city or town in which the death occurred.
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