USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 138
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WINT HROP
Usual
Residence
WINTHROP (72 ALMONT ST)
Filed
OCT.15
1918.
A true copy.
Attest :
ErMSlenen
Filed Dee . 18, 1918
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness, from 1918, to
1918, that to the best of my knowledge and belief death occurred, on the date stated above, and that the CAUSE OF DEATH was as follows:
5
RAR
R T PA
H (Duration)
ES OFFICE
LOBAR PNEUMONIA -FOL.EPIDEMIC INFLUENZA
BOSTONIA
CONDITAA
LA. 1822.
Birthplace of Father ENGLAND
Maiden Name of Mother
Birthplace of Mother
-
Occupation
HOUSEWIFE
Informant
Registered No. 12524
MASS .HOMEO.HOSPT.
Date of Death
MARIA A.SHAW
Registrar.
CITY
lucarLa
Oct . 7,1918
The Commonwealth of Massachusetts
WINTHROP
STANDARD CERTIFICATE OF DEATH
(City or town)
County.
Suffolk
State
Mark
Registered No.
City.
Winthrop
No
2/7.
Shirley
St.,
.. Ward
(If death oceurred in a hospital or institution, give its NAME instead of street and number)
Mary E. Belcher
2 FULL NAME
(If in the Army or Navy of the United States, give rank, organization, ete.)
(a) Residence.
No. 217Shirley
40
years
months
days .
How long in U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
Oct 85-
1918
17
I HEREBY CERTIFY, That I attended deceased from
Oct 1
19
to ..
8
1915
that I last saw
alive on
Oct 8
1918
and that death occurred, on the date stated above, at
m.
The CAUSE OF DEATH* was as follows :
If LESS than
1 day, ........ hrs.
or ........ min.
Cerebral Hemorrhage
8 OCCUPATION OF DECEASED ethordes
9 BIRTHPLACE (city or town).
Raymond
10 NAME OF FATHER Samt John Steiva
11 BIRTHPLACE OF FATHER (city or town)
(State or country)
new Hampo-
12 MAIDEN NAME OF MOTHER Sarah Fiske
13 BIRTHPLACE OF MOTHER (eity or town) (State or country ) on. N.
KutT
(Address)
217 Shirley St.
15
Filed ., 19
REGISTRAR
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
griethoxe cent
DATE OF BURIAL 10-13/2018
20 UNDERTAKER
N. C. Skaggs
ADDRESS
Winthrop
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be
1 PLACE OF DEATH
Township
(Usual place of'abode)
Length of residence in city or town where death occurred
3 SEX
4 COLOR OR RACE
w
5a If married, widowed, or divorced
HUSBAND of
(on) WIFE. of
7 AGE
Ycars
Months
84
3
(a) Trade, profession, or
particular kind of work.
(b) General nature of indostry,
business, or establishment in
which employed (or employer)
(c) Name of employer
PARENTS
14
Informant
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
of certificate.
so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back
(State or country)
n1.47.
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Widowed
Widow & Samuel Beloles
6 DATE OF BIRTH (month, day, and year) 7-3-1834
Days
4
Unkynn (duration)
mos ..
ds.
CONTRIBUTORY
arteriosclerosis
SECONDARY Hours (duration)
18 Where was disease contracted
if not at place of death ?
Did an operation precede death?
no Date of
Was there an autopsy ?.
What test confirmed diagnosis ?.
(Signed)
Horace & Joule
MA.D.
008, 1915 (Address) 180 Winthrop St Nutterop
* State the DISEASE CAUSING DEATH, of in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional spaee.)
or Village ..
.or
St.,.
......
Ward.
(If non-resident give city or town and State)
.yrs ...
......... yrs ..
............. mos ..
.ds.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
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 cach 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 houschold 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 spc- cifically the occupations of persons engaged in domestie 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 DEATII (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 "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoidl fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- ficd, 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 neoplasins); Measles; Whooping cough; Chronic valvular heart disease; Chronie interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing deatlı), 29 as .; 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- nus," "Old age," "Shock,"Uremia," "Weakness," etc., when a definite disease ean be ascertained as the cause. Always qualify all discases resulting fromn ehild- 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 carbolie aeid - 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 statcinent 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 Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Crimina. 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 duc to Alcoholism, etc.
4. Deatlıs under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY
PHYSICIAN.
R 15. 2-'18. 100,000.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(City or town)
1 PLACE OF DEATH
County.
middlesex
State
mass
Registered No.
131
Township
Belmont
or Village.
Waverley
or
City.
........
No ..
...........
mc Lean itospital
St.,
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Chauncey P. Lanton
(If in the Army or Navy of the United states; give rank; organization; ctr:""
(a) Residence.
No.
10 Louis
(Usual place of abode)
Length of residence in city or town where death occurred
2
years
mooths
14
days.
How long in U. S., if of foreign birth ?
years
mooths
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
married
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Laura N. LEntou
6 DATE OF BIRTH (month, day, and year)
Cect. 12, 1868
7 AGE 50 Years
11 Months
29
If LESS than
1 day, ........ brs.
or ........ min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
asit Treasurer
particular kind of work.
(b) General nature of industry,
business, or establishment in
which employed (or employer)
(c) Name of employer
american
mia Que Co.
Que
9 BIRTHPLACE (city or town)
Windham.
(State or country)
Conn.
10 NAME OF FATHER
John C. Tentow
11 BIRTHPLACE OF FATHER (city or town)
(State or country)
Conn.
12 MAIDEN NAME OF MOTHER
Ellen E. Perkins
13 BIRTHPLACE OF MOTHER (city or town)
(State or country)
Conn.
18 Where was disease contracted
if not at place of death?
Did an operation precede death?
200
Date of
Was there an autopsy ?.
no
What test confirmed diagnosis ?
Frederick N. Packard
(Signed)
JI.D.
0
18, 19 18
(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.)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Loust Hillo
DATE OF BURIAL
lect.is,
19
18.
15
Filed 10/9, 1918 6 Non. 9. 1918
REGISTRAR
16 DATE OF DEATH (month, day, and year)
Oct. 8,
19
17
I HEREBY CERTIFY, That I attended deceased from
Sent. 19
18
18
19
Cock. 8.
19
to.
that I last saw
h he alive on
19
and that death occurred, on the date stated above, at 11:50 PM .. m.
The CAUSE OF DEATH* was as follows :
General Paralisis of the
Insque
about
(duration)
2
yrs.
3
mos.
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
.yrs.
mos.
.ds.
PARENTS
of certificate.
14
Informant
Lama H. Fenton
(Address) 10 Locust st. Wittecontar.
20 UNDERTAKER
C. R. Bennison
ADDRESS
Wwittrup
hass.
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,
MEDICAL CERTIFICATE OF DEATH
St.,
.Ward.
(If non-resident give city of town and State)
October 8
18
Belmont ....
KEYOCU UNIICU DIAIES SIANDARD CERTIFICATE U IF OF DEATH [Approved by U. S. Census and American Public Health Association}
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 forin 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 houschold 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 ot 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 "Epidemie 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, ete., Carcinoma, Sarcoma, etc., of _.
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronie valvular heart disease; Chronie 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- toins 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- inus," "Old age," "Shock," "Uremia," "Weakness," ete., 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 (e. 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, 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. 1-'18. 20,000.
M R-301
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
County.
Organe France
State
Registered No.
272
St ... Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Damit a. Mcl@mail.
(If in the Army or Navy of the United States, give rank, organization, etc.)
18244
(If non-resident give eity or town and State)
Length of residence in city or town where death occurred
years
months
days.
How long in U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Singh
(Day)
(Year)
Months
Day
If LESS than
I day,
hrs.
or miu.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
2NO , LIEUT.CO.L.
320TH IAF.
9 BIRTHPLACE (City)
Cash Brother
Eland Ring P. E. S.
12 MAIDEN NAME
OF MOTHER
nahet laurie
Sidney Ce. B.
(Address) .
Date
( Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
DATE OF BURIAL
Jeff2- 199
(Cemetery)
(City or town)
20 UNDERTAKER
R.le. Kinh
ADDRESS
Filed. (Month) (Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the harial or transit permit was issued
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH.
(Month)
OCT.11.1918
(Day)
(Year)
17 I HEREBY CERTIFY, That I attended deceased from
., 19
... , to.
,19
that I last saw h
alive on
, 19
and that death occurred, on the date stated above, at.
.m.
The CAUSE OF DEATH was as follows :
KILLED IN ACTION
.. (duration)
yrs.
......
mos ..
ds.
CONTRIBUTORY
(SECONOARY)
(duration)
yrs ..
mos ....
ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?
. Date of
Was there an autopsy ?
What test confirmed diagnosis ?
(Signed).
, M.D.
15 Oct 25. 192 1
100,000.
Official position
22 Date of issue of burial or transit permit
Sz124, 21
3 SEX
1/cul
PARENTS
Informant
(Address)
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
(c) Name of employer
1 PLACE OF DEATH
City or Town
2 FULL NAME
( Usual place of abode)
4 COLOR OR RACE
What
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH
( Month)
7 AGE
28
Years
(b) General nature of industry,
business, or establishment in
which employed ( or employer ).
(State or country)
10 NAME OF
FATHER
alexander
11 BIRTHPLACE OF
FATHER (City) ..
(State or country)
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
14
faktur
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
If STILLBORN, enter that fact here
If STILLBORN, state period of uterogestation
mes.
No.
FRANCE
(a) Residence.
No.
47 Shirley Wrathof
St.,
Ward.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
. {Approved by U. S. Census and American Public Health Association]
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 he sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. Butin 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 "Lahorer," "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 he 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, eto. 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," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Dehility" ("Congenital," "Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained 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.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE 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 hest of his knowledge and belief the name of the deceased, his supposed age, the discase 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 hoard, agent or clerk, . . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall he 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 deccased, 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:
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