USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1919 > Part 8
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
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
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE FOR FURTHER STATEMENTS BY
PHYSICIAN.
R 15. 1-'18. 100,000.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
County ....
Malik
State
mass
Registered No. 24
Township
Chebeistand
„.or Village ..
Centro
.or
City No.
...........
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Hattie Joanna Vickery
(If in the Apmy or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No.
Westend Road.
St.,
Ward.
(If non-resident give city or town and State)
(Usual place of abode)
Length of residence io city or town where death occorred
years
mooths
days.
How long io U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
(01) WIFE of
Walter E. Vickery
6 DATE OF BIRTH (month, day, and year) May 15-1869
7 AGE Years
49
Months
10
Days
23
If LESS than 1 day, ........ hrs. or ........ min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
fireservite
(b) Geoeral nature of industry,
business, or establishmeot in
which employed (or employer).
(c) Name of employer
9 BIRTHPLACE (city or town).
Henniker
(State or country) N.t
10 NAME OF FATHER
albert & clark
11 BIRTHPLACE OF FATHER (eity or town)
(State or country)
N. ++
12 MAIDEN NAME OF MOTHER
Hattie J. Claus
13 BIRTHPLACE OF MOTHER (city or town) anniper (State or country) Natt
14 Waller E. Vickery
15
Filed apr. 9, 19/9 Edward). Robbins
REGISTRAR
....
16 DATE OF DEATH (month, day, and year)
apr. 7. 19/9.
17
I HEREBY CERTIFY, That I attended deceased from
March 1
., 1919, to apr. 7
,19 .. /Q.
that I last saw her alive on
apr. 5
and that death occurred, on the date stated above, at
3:30 p
.m.
The CAUSE OF DEATH* was as follows:
acute Bronchitis
...
5 unales.
.- (duration)
yrs ...
mos ..
ds.
CONTRIBUTORY.
......
.... (SECONDARY)
(duration)
.... yrs ..
..... mos.
ds.
18 Where was disease contracted
if not at place of death?
Did an operation precede death?
m Date of
Was there an autopsy ?...
What test confirmed diagnosis ?.
(Signed)
M.D.
4.9, 19/4 (Address)
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES. state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)
+ PLACE OF BURIAL, CREMATION, OR) REMOVAL DATE OF BURIAL Tine Redge-Chechuefund Aby. 9 1919
20 UNDERTAKER
ADDRESS
Walter Perham Chelmsford.
3 SEX Female PARENTS Informant (Address) of certificate. carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back particular kiod of work.
MARGIN RESERVED FOR BINDING
MEDICAL CERTIFICATE OF DEATH
.....
St., .. .Ward
189 Chelinford. Mais (City or town)
Hemiker
REVISED UNITED STATES STANDAP: [Approved by U. S. Census en?^_
Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician; Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business; that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death :-- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of_
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma,' "Convulsions,"'"Debility" ("Con- genital," "Senile,"
etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. ª Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated
.one heat.
on statement of car -. i death appro ca Ny . on Nomenclature of the American Medical Ase Cases for the Medical Examiners. - Under +
sions of chapter 24 of the Revised Laws death
following conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY PHYSICIAN.
R 15. 10-'18. 5,000.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
.................
(City of town)
Registered No. 25 ....
Township
celinatão
... or Village.
Centre
... or
(If death occurred in a hospital or institution, give its NAME instead of street and number) ... ,
2 FULL NAME
.....
Sarale Matilda Festen
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No
Bridge St
St.,
Ward.
(Usual place of abode)
Leogth of residence in city or town where death occurred
years
mooths
days.
How long io U. S., if of foreigo hirth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
Female White
5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (write the word) Single
6 DATE OF BIRTH (month, day, and year) May 6-1839
7 AGE
Years
.
-
Months
Days
79
11
1
If LESS than
1 day, ........ hrs.
or ........ min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kiod of work ..
at Home
(b) Geoeral nature of iodustry, business, or establishimeot io which employed (or employer) (c) Name of employer
9 BIRTHPLACE (city or town) ..
Weutward N.+
(State or country)
10 NAME OF FATHER
Desar Foster
11 BIRTHPLACE OF FATHER (eity or town)
Rumney
(State or country)
N.H.
12 MAIDEN NAME OF MOTHER Tamma Whitney
13 BIRTHPLACE OF MOTHER (city or town).
wolcott
(State or country)
UX.
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
aler. 7.
19 /9.
17
I HEREBY CERTIFY, That I attended deceased from
mai: 25
, 19 19, to
apr 7,, 1919.
that I last saw hes alive on
aps. 7, 1919.
and that death occurred, on the date stated above, at
m.
The CAUSE OF DEATH* was as follows :
auguna Lectores -
myocarditis
(duration)
... yr's ....
... mos ........
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
1
.... mos.
ds.
....... yrs ........
Date of,
Was there an autopsy ?...
no.
What test confirmed diagnosis ?...
(Signed).
M.D.
3-9, 199 (Address) Chulunfond, mas
* State the DISEASE CAUSING DEATHI, or in deaths from VIOLENT CAUSES. state (1') MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)
DATE OF BURIAL
14
Informant
Ja Barcelony
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Edson Cem. Lowell
19/9
(Address)
15 Filed Upr. 9, 1919 Blevmed J. Bobbing REGISTRAR
*ADDRESS
20 UNDERTAKER
Wallin Perkam Chelmsford. Mars
MARGIN RESERVED FOR BINDING
of certificate.
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
1 PLACE OF DEATH
County ....
Medl'ai
State
mask
City.
.No.
St.,. .Ward
(If non-resident give city or town and State)
5a If married, widowed, or divorced
HUSBAND of
(01) WIFE of
PARENTS
18 Where was disease contracted
if not at place of death?
Did an operation precede death?
no.
REVISED UNITED STATES ST>"
AKD CERTIFICATE O
[Approved by !! :
irao Public Health ?
Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statoment of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); . Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of_
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions,"" "Debility" ("Con-
genital," "Senile." etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. ^ Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (c. g., sepsis, tetanus) may be stated
under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drouming, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, ¡Poisoning, Starvation, Suffocation, Exposure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the strcet, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY PHYSICIAN.
0
/
R 15. 10-'18. 5,000.
FORM R-301
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
191
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATH
County ..
Middlesex
State
Registered No.
26
City or Town
East Chelmsford
No.
Gorham
as
St.
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Charles Nr. Williamson
( If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No.
(Usual place of abode)
Gorham
St.,.
Ward.
(If non-resident give city or town and State)
Length of residence in city or town where death occurred
4
years
months
days.
How long in U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male.
4 COLOR OR RACE
Arhite.
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
MarriedA
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Alice J. Williamson
6 DATE OF BIRTH
Aug
17
1862.
( Month)
(Day)
(Year)
7 AGE
56
Years
7
Months 2,6
Days
If STILLBORN, enter that fact here
If STILLBORN, state period of uterogestation.
... I.
mos.
If LESS than
1 day.
....... hrs.
or ........ min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work.
(b) General nature of industry,
business, or establishment in
wbich employed ( or employer) ..
Harmens
Farmer.
(c) Name of employer
Himself.
CONTRIBUTORY
(SECONDARY)
(duration)
yrs ...
mos ..
ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death? ho
Date of.
Was there an autopsy ?
What test confirmed diagnosis ?.
(Signed ) * - .
uh R. Brody
M.D.
-(Address).
Sim
Belg.
11
1919
(Month) (Day) (Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Nextlawn,
Lowell Mare.
(Cemetery)
(City or town)
20 UNDERTAKER
grottealey,
DATE OF BURIAL April 15.2019.
ADDRESS
Sowell, Hace.
21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH.
Abril
(Month)
(Day)
12.
1919
(Year)
.
17 I HEREBY CERTIFY, That I attended deceased from .
Jan. 25
, 1919, to Mailly 1, 1919.
that I last saw h Un alive on
march 1. 19199
40 and that death occurred, on the date stated above, at. m. The CAUSE OF DEATH was as follows : Tubeculosis ( Pulmonary )
( duration)
3
.. yrs ...
mos ...
ds.
9 BIRTHPLACE (City)
Holders
(State or country) Me.
10 NAME OF
FATHER
William Williamson.
(State or country)
12 MAIDEN NAME
OF MOTHER
Annie Patterson.
St. Johna.
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
N. 08.
Date
14
None Alice NoWilliamson.
Informant ...
(Address)
Chelmsford Maca.
15 abril 14,1919 Edward & Robbing Filed (Monti) (Day) (Year)
Official Com Click position.
22 Date of issue of hurial or transit permit
april. 14,919
1862->
10-'18. 100,000.
should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See
1918- 56-
MARGIN RESERVED FOR BINDING
PARENTS
11 BIRTHPLACE OF
FATHER (City).
England.
Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement ; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, etc., of .. .. (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Ancmia" (merely symptomatic), "Atrophy," "Col --- lapse," "Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc. ), "Dropsy,""Exhaustion,""Heart failure,''"Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertaincd as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.
State cause for which surgical operation was undertaken.
(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)
Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.
Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.
RETURN OF CERTIFICATES OF DEATH
A physician 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 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 so that it can be classified under the international classification of causes of death], where contracted, the duration of his last illness, when last seen alive by the physician, and the date of his death. . . . - Revised Laws, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 322.
No undertaker or other person shall bury a human body .. . until he has received a permit from the board of health or its agent, . . or . . from the clerk of the city or town in which the person died; . . . no such permit shall be issued until there shall have been delivered to such board, agent or clerk, . .. a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate of the at- tending physician, if any, as required by law, or in lieu thereof a certifi- cate 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, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. . . . The person to whom the per- mit is so given and the physician who certifies to 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. - Revised Laws, Chap. 78, Sec. 38.
Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner of his death, and shall make examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. -- Revised Laws, Chap. 24, Sec. 8.
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.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.