Town of Winthrop : Record of Deaths 1940, Part 1

Author: Winthrop (Mass.)
Publication date: 1940
Publisher:
Number of Pages: 494


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 1


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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



J. L. FAIRBANKS DIV. Thomas Groom & Co. Stationers 105 State St., Boston


To duplicate this book order No. 8036-10


M R-301 A


Suffo (County)


Winthrop


(City or Town)


The Commonfocalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


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


1


Registered No. (If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


Patrick .... J ......... Sheerin


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


(If U. S. War Veteran, specify WAR)


(a) Residence. No ...


(Usual place of abode)


Length of stay : In hospital or institution ..


(Specify whether)


440 Winthrop St


..... ........ St.


(If nonresident, give city or town and state)


months


days.


In this community 140 yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED,


Male White


Widowed


5a If married, widowed, or divorced


HUSBAND of


Sus


Sheekv


(Give maiden name of wife in full)


(Husband's name in full)


years


6 Age of husband or wife if alive 7 IF STILLBORN, enter that fact here.


AGE


Years.


Months


Days


Hours.


Minutes


11 Social Security No.


None


12 BIRTHPLACE (City)


(State or country)


Ireland


13 NAME OF


FATHER


James Sheerin


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Catherine


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


Relation, if any


17 Inform Mrs ... France.s ... Monty ......... (.daughter


(Address)


293 Main St Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the budal or transit permit was issued: Www. D. Cul dress 2.


Signature of Agent of Board of Health or other) Health Officier 1/3/40


.... (Official Designation)


(Date of Issue of Vermity


18 DATE OF


DEATH


1


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY. That I attended deceased from - 19 40


19.3 ... 9., to


I last saw h ...... w ... alive on.


12-29, 1939, death is said


to have occurred on the date stated above, at IN Mm.


Immediate cause of death


Duration BLÅPORTANT


Jennal Taresis


Du t


Due to Other conditions general Interior Schung (Include pregnancy within 3 months of death)


PHYSICIAN Underline the cause to which death should be charged sta- tistically.


28 Was disease or lajury in any way related to occupation of deceased?


If so, specify


(Signed)


Haura


Date.


1/2


,


M. D.


.19 .. 14.0


21


Holy Cross


Molden Mass Place of Durial, Cremation or Removal.


DATE OF BURIAL.


January


19 110


22 NAME OF


FUNERAL DIRECTOR


ADDRESS.


Winthrop ,Mass


Received and filed .. ......


19


(Registrar) V


100m-10-'39. No. 8427-e


1 3 SEX (or) WIFE of 8 80 PARENTS information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state Usucl 9 Occupation: is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION


PLACE OF DEATH


No. 440 Winthrop St.


St. {


years


MEDICAL CERTIFICATE OF DEATH


1


40


If less than 1 day


Laborer


Industry


10 or Business:


P ......... D.


Major findings :


Of operations


.Date of.


Of autopsy


What test confirmed diagnosis ?


(Address)


i


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 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 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 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 undertaker 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 de- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 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 physician who is a member of the board of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal ; provided, that such body shall be returned to the town from which it was removed within thirty- six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. 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 tranginit 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 fur- nish 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., (Tercentenary Edition.)


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 burlal ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edition)


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observ- ance 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 ill- ness 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 un- related 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 septice- mia), 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 occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .-- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.


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 occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usual 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. 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 whatever write none.


SPACE FOR ADDITIONAL INFORMATION


A R-301 AJ


Suffolk (County)


Winthrop


(City or Town)


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD


CERTIFICATE OF DEATH


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


2


Registered No


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


2 FULL NAME"


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


255 Pleasent


St.


Winthrop


(If nonresident, give city or town and state)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


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


Jennie ... Grant .... WithereI .....


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


Years


6 Age of husband or wife if alive. 7 IF STILLBORN, enter that fact here.


AGE


86


Years.


2


Months


2 Days


Hours.


Minutes


9 Occupation:


Arbitrator


Industry


10 or Business:


WholesaleFish


Pier


11 Social Security No ..


None


12 BIRTHPLACE (City)


Cambridge


(State or country) Mass.


13 NAME OF


FATHER


William Witherell


14 BIRTHPLACE OF


FATHER (City)


So.Wellfleat-


(State or country) Mass


15 MAIDEN NAME


OF MOTHER


Eunice


-Unice Stubbs


fleet


16 BIRTHPLACE OF


MOTHER (City)


So. Wellfleat


(State or country)


Mass.


17 Lucille H. Brom


Relation, if any


Nome


Informant (Address) 255 Pleasent St. Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buffal of transit permit was issued: Win. S. Childress


(Signature of Agent of Board of Health or other) Health Office (Official Designation) (Date of Issue of Per;nit) 1/4/40


18 DATE OF


DEATH


Jan.


2


1940


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY.


Dec. 8


19.39, to Pan 2-


19 .. 44 .. Q


I last saw halive on game


19.410, death is said


to have occurred on the date stated above, at.


!_: 10.Am.


Immediate cause of death.


Hypertrophy Prostate Higland


2 7karo ....


Due to


Due to


Other conditions


Uremia


13 days


PHYSICIAN Underline the cause to which death should be charged sta- tistically.


20 Was disease or Injury in any way related to occupation of deceasod? no


l! so, specif


(Address) M. D. (Signed), Winthink mais Date 1/3 1940


21 Jan.4 1940


.... ..... Place of Burial, Cremation or Removal. (City or Town)


DATE OF BURIAL .... Cambridge


Cambridge


19


22 NAME OF


FUNERAL DIRECTOR


Richard To White


ADDRESS


147 Winthrop St. Winthrop


Received and filed


19


(Registrar)


100m-10-'39. No. 8427-e


1 8 PARENTS information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state Usual is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION


PLACE OF DEATH


255 Pleasent ft. Winthrop No. Henry -Barry Franklin Witherell


St.


(If U. S. War Voteran, specify WAR)


(a) Residence. No.


(Usual place of abode)


Length of stay : In hospital or institution ...


.....


years


months


days.


In this community 16


yrs.


mos.


days.


Duration


IMPORTANT


(Include pregnancy within 3 months of death)


Major findings :


Of operations


none


Date of.


Of autopsy


none


What test confirmed diagnosis ?.


Clinical


That I attended deceased from


If less than 1 day


fleet


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 iliness, 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 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 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 undertaker 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 de- livered to such board, agent or clerk, as the case may be, a satisfac- tory 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 inember of the board of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose. the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such reinoval ; provided, that such body shall be returned to the town from which it was, removed within thirty- six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. 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 shail thereafter fur- nish 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., (Tercentenary Edition.)


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 burlal ground in which the interment is made. ... Chap. 114, Sec. 46, G. L., (Tercentenary Edition)


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observ- ance 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 ill- ness 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 un- related 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 septice- mla), 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 occupa- tion, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .-- Cause of death means the disease, or complication which causes death. not the mnode of dying, e. g., heart failure. asphyxla. asthenia. ctc. As principal cause name the disease causing death. As related causes, name earlier morbid con- ditions, if any, related to the principal cause and any important complication of the principal cause.


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 occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased liad retired from busi- ness, report the usual 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. 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 whatever write none.


SPACE FOR ADDITIONAL INFORMATION


R-301 A = SUFFOLK


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD


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


Registered No.


3


NoStation Hospital Fort Banks Mass


St.


(If death occurred in a hospital or institution,


give its NAME instead of street and number)


(If U. S. War Veteran, specify WAR)


Spaniole .


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


(a) Residence. No.


21 Capen Place


St. Canton, Nass.


(If nonresident, give city or town and state)


1


months


11


days.


In this community


yrs.


mos.


days.


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


5 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCEDMarried


.Keano


(Give maiden name of wife in full)


(Husband's name in full)


.years


If less than 1 day


Hours.


Minutes


9 Occupation:


Retired Quartermaster Sgt.US ... Arm


Industry


10 or Business:


U.S ....... Army (Retired)


12 BIRTHPLACE (Cit Cornwallis, NovaScotia, (State or country) Canada


FATHER (City) .


Cornwallis Nova Scotia


(State or country )Canada


15 MAIDEN NAME


Annie E. Marshall


16 BIRTHPLACE OF Cornwallis, Nova Scotia, MOTHER (City) ..... Canada


17 Relation, if any InformanRegistrar ,Sta. Hosp.Ft ... Banks ,Nass ..... ) (Address)


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:


Wm. S. Children (Signature of Agent of Board of Ahealth of other) Health Office 1/4/39


(Official Designation)


(Date of Issue of /Permit)


MEDICAL CERTIFICATE OF DEATH


January


2nd


1940


(Day)


(Year)


NOVERDER E 22 CERTIFYUaINat2 attended decease from


.1.m.


........ , 19 .... Januray ... 2


40


19


...


I ·last saw h ............ alive on ....... 3 :. 500.P .... , death is said to have occurred on the datorstatedriveartteri .. .... m. selero tice defthler ... and ... foot. Duration


Unknown


Due to Unknown


Due to


Arteriosclerotic heart


Other conditions


"(thelade pregnancy within 3 months of death)


Unknown ...


PHYSICIAN Underline the cause to which death should be charged sta- tistically.


20 Was disease or injury o? way lated tooocupation af undsed. ......


If so, specify ...


(Signed)


Fort Banks Mass


ROBERT T "JA"COLDSON-1 "Ist-it Jan


......


D.


(Address) Date Sharon


21 Rock Ridge


Place of Burial, Cremation or Removal. (City or Town) DATE OF BURIAL ....


Sau


.... .......


19.1943


22 NAME OF FUNERAL DIRECTOR Harry Abraham


ADDRESS 10 Chareket Coulon


Received and filed


19


(Registrar)


100m-10-'39. No. 8427-e


Major findings Amputation, M third, thich


1of operations


No


Date of


Nov .24/39


Of autopsy


None


What test confirmed diagnosis ?.


1940


(County) WINTHROP 1 (City or Town) 3 SEX 4 COLOR OR RACE White White 5a If married, widowed, or divorced HUSBAND of Bridgett (or) WIFE of 6 Age of husband or wife if alive 56 7 IF STILLBORN, enter that fact here. 8 AGE 88 Years. 8 Months. 23 Days Usual Il Social Security No. 14 BIRTHPLACE OF PARENTS (State or country) 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. information should be carefully supplied. AGE should be stated LAACILI. PHYSICIANS should state 13 NAME OF FATHER William Stevenson


PLACE OF DEATH


CERTIFICATE OF DEATH


2 FULL NAME


CHARLES EDWARD STEVENSON


(Usual place of abode)


Length of stay: In hospital or institution Hospital


years


18 DATE OF


DEATH


(Month)


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 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 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, Scc. 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 undertaker 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 de- livered to such board, agent or clerk, as the ease may be, a satisfac- tory 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 pur- pose, shall upon application make the certificate required of the at- tending physician. If death is enused by violence, the medieal cxam- iner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal ; provided, that such body shall be returned to the town from which it was removed within thirty- six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deecased 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 reecipt of such statement and certifieate, 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 physielan certifying the cause of death shall thereafter for- nish for registration any other necessary information which can be obtained as to the deecased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition.)




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