USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1942 > 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 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81
J. L. FAIRBANKS DIV. Thomas Groom & Co. Stationers 105 State St., Boston
To duplicate this book order No. 9054-3
FO
1
MINTV
ORM R-301 AI
MARGIN RESERVED FOR BINDING
1 3 SEX male HUSBAND of (or) WIFE of AGE 9 Occupation: PARENTS Informant (Address) 100m-10-'39. No. 8427-e N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of 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 information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 10 or Business:
PLACE OF DEATH
Suffolk ( comoty) Winthrok (City or Town) 93 Loaner No
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.
Registered No ..
1
St.
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
...
Casper Silverman 1
deceased is a married, widowed or divorced woman, give also maiden name.)
(If 93 Lowrat
(a) Residence. No. (Usual place of abode)
Length of stay : In hospital or institution. (Specify whether)
years
months
days.
In this community 3 4yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH van.
(Month)
(Day)
1942 (Year)
7.00.
1936
P., to.
11,1%
19 42
I last saw h. we. .. alive on .. 1942, death is said to have occurred on the date stated above, at ............ .24 .. m.
Immediate cause of death ..... Coronary / hranbasis
Duration IMPORTAIT 6 days
10 yrs.
Due Cugina Pectoris
Joyro.
Other conditions (Include pregnancy within 3 months of death)
Major findings : Of operations
Date of.
Of autopsy
What test confirmed diagnosis ?
PHYSICIAN Underline the cause to which death should he charged sta- tistically.
20 Was disecse or Injury In any way related to occupation of escaased?
If so, specify
Charleshibedwang M. D.
(Signed).
(Address) 26 Wave Way
Date. / .............
1942
Forest Nille Crematory J. Plain
Place of Burial, Cremation or Removal.
( City or Town )
DATE OF BURIAL January 4 1942
Manuel Stametsky
22 NAME OF FUNERAL DIRECTOR ADDRESS 10 Washington It. Dor.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or kansit permit was issued: Nue. L. Children s (Signature of Agent of Board of Health or other) Malthe Office
1/2/42
(Official Designation) (Date of Issue of/ Permits
(write the word) married
Looch Schwartz (Give maiden name of wife in full)
(Husband's name in full)
66 .years
6 Age of husband or wife if alive 7 IF STILLBORN, enter that fact here.
If less than I day
8 68 Years
-
Months
Days
Hours Minutes
Usual Dress
mfg.
Industry For Himself
II Social Security No ... none
12 BIRTHPLACE (City) Russia (State or country)
13 NAME OF FATHER ERY JacobSilverman
14 BIRTHPLACE OF FATHER (City) Queria
(State or country)
15 MAIDEN NAME OF MOTHER 1. Frieda (learned
16 BIRTHPLACE OF MOTHER (City) (State or country)
Ruccia
17 Leah Silverman Wife)
Relation; if any
93 LocustSt. WaltherAB
Received and filed
JAN 3
"1942
19
(Registrar)
no
St.
(If U. S. War Veteran, specify WAR) Winthrop
(If nonresident, give city on town and state)
4 COLOR OR RACE White
5 SINGLE MARBYED WIDOWED or DIVORCED
19 I HEREBY CERTIFY,
That I attended deceased from
Due to Coronary Citery
cannotbe
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 bc, 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 hoard 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 ahove 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 appcar upon the permit. The board of health, or its agent, upon receipt 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 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 burial 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 necdcd.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly hy 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 lo occupa- tion, the sudden deaths of persons nol 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 housekooper- privato family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
FORM R-301
MARGIN RESERVED FOR BINDING
200m-10-'39. No. 8427-d
1 HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the bufial or/transit permit was issued: Www. D. Childreng
(Signature of Agent of Board of Health or other) 1 De abele Officer 1/7/42
(Official Designation) (Date of Issue/of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
January
2)
114.2.
(Month)
(Day)
(Year)
H9 | HEREBY CERTIFY, That I attended deceased from
December 30
A1
an 2
to ....
19 .... 42
I last saw h.
er
Jan
J
alive on.
19.42, death is said
2.05 AM
to have occurred on the date stated above, at.
.. m.
Duration
Immediate cause of death .. Acute Myocarditis
Hemorrhage of Bowels
....
2 Days
Due to
Carcinoma of Bowels
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of
Of autopsy
None
What test confirmed diagnosis ?
PHYSICIAN Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased ? No
If so, specify.
Edward t. tranger.
(Signed)
, M. D.
1/2 1942
21
Forest Hills Cemetery Boston
Place of Burial, Cremation
Fanuery (Gy
r Town)
.... DATE OF BURIAL 19 42
22 NAME OF
J.S. Waterman & Sons
FUNERAL DIRECTOR
ADDRESS
Boston, Dass DU.
19
Received and filed
À TRUE COPY ATTEST:
(Registrar)
2
Registered No. § (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
Soper Eastwood, CatherineMay 2
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
17 South Mein 989
St.
Attleboro
Mass
(If nonresident, give city or town and state)
'.ength of stay : In hospital or institution
(Specify whether)
years
months
3 days.
In this community
yrs.
mos.
3. days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed.
5a If married, widowed, or divorced
HUSBAND of
WifGive maiden name of wife in_full)
Eastwood
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive. .years
7 IF STILLBORN, enter that fact here.
AGE .Years 7 Months 16 Days
lf less than 1 day
Hours.
Minutes
Usual At home
12 BIRTHPLACE (City)
England
(State or country)
13 NAME OF
FATHER
Jalm Soper
14 BIRTHPLACE OF
England
FATHER (City) (State or country)
15 MAIDEN NAME
OF MOTHER
Catherine E Pyne
16 BIRTHPLACE OF MOTHER (City) (State or country)
England
1 PLACE OF DEATH 3 SEX F 8 .79 9 Occupation: PARENTS Informant. information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 10 or Business:
attleboro morgue FEB 9 1942
Suffolk
(County)
Winthrop (City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
No.Winthrop Community Hospital
( U. S.
War Veteran.
None
specify WAR)
(Usual place of abode)
hospital
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of 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 Industry
17 Henrietta Tapper si .Relation, if any (Address) 200 Wartungmy bbat
(Address)
'60 Babcock St Brookline
11 Social Security No.
None
....
IAN 5
1942
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 exhumc a human body and remove it from a town, from one cemetery to another, or from onc grave or tomh 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, hy a satisfactory certificate of the attending physician, if any, as required hy 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 hy 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 a 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 hercunder, 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 thercafter 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 heen 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 euch board, from the clerk of the town where the body is to he 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, Seo. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment of the purpose of thesc 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 dne to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septice- mia), and hy 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
RM R-301 A
1942
Juffolk
(County) Qtwithrop
CARY Er Town) Struthrop com
The Commontoralth 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.
3
tekst St. ( give its NAME instead of street and number)
John Usseglio
2 FULL NAME
(Hf deceased is a married, widowed or divorced woman, give also maiden name.)
213 Stebester
St.
Eaux&
PHYSICIAN - IMPORTANT (Was deceased a S. War Veteran, so specify WAR).
(a) Residence. No. (Usual place of abode)
Length of stay: In hospital or Institution .. ( Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE|
5 SINGLE
MARRIED
WIDOWED
or DIVORCES
( wpDe the word) Jungle
5a If married, widowed, or divorced HUSBAND of
(or) WIFE of
(ITusband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8 AGE .... Years ...... 03 .. Days
... Months ....
If less than 1 day Hours. ...... Minutes
Usual
9 Occupation :
Industry
10 or Business :
none
11 Social Security No. Panthers
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Bostad
(State or country)
mars
15 MAIDEN NAME
OF MOTHER
Helen Farnham
16 BIRTHPLACE OF
MOTHER (City)
Santherap
(State or country)
maro
17
( Address)
I HEREBY CERTIFY, that a satisfactory standard certificate of death was filed with me BEFORE the Durtal or transit permit was issued : Wms- Childreng
(Signature ofyAgent of Board ek Health or other) seattle spicer 1/5/42
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
"dsfonth )
3
1942 (Year)
19 I HEREBY CERTIFY.^
onc 31
19
That I attended deceased from)
41 to fun 3
1
19
C
I last saw h .....
alive on
Jun p 3
19\ ..... death Is sald to
have occurred on the date stated above, at. 4 32P m.
Immediate cause of death.
hermarriage ? new born
IMPORTANT
3
Due to.
Due to. Conquintal Great
3
IMPORTANT Physician
Underline the cause to which death should be charged ata. tistically.
20 Was disease of)injury in any way related to oooupation of deceased ? If so, specify.
M. D.
(Signed)
Jours Coher
(Address) 108 Mentra
Date: 5
192
Holy cross malten.
21
Place of Burial, Cremation
Removal.
(City or Town)
DATE OF BURIAL.
as 5
.....
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Boston
Received and filed
ING
19
(Registrar) 5
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot. extracts from the laws on back of certificate.
100m (d)-1-41-4667
PLACE OF DEATH
-
1
No.
( (If death occurred in a hospital or institution,
( If nonresident, give city or town and State)
-
years
months 3
days.
In this community
frs. -
mos.
3 days.
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and should be carefully supplied. ACE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
13 NAME OF
FATHER Charles Usseglio
Major findings :
Of operations.
Date of.
Of autopsy
What test confirmed diagnosis ?
none
Duration
Other conditions.
(Include pregnancy within 3 months of death)
12 BIRTHPLACE (City)
(State or country)
(Give maiden name of wife in full)
MEDICAL CERTIFICATE OF DEATH
(Day)
Registered No.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physlolan 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 atandard 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 dicd, defined as re- quired 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 hia death ... Gen. Laws, Chap. 46, Scc. 9.
A physician or officer furnishing a certificate of death aa required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can bnrder service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
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 elerk 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 tonib to another in the saine cemetery, until he has received a permit fromu the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall he issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the faets 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 hercinafter 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 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 re- quired of the attending physician. If death is caused by violence, the medi- cal examiner 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 connnouwealth cannot be obtained carly 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
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