Town of Winthrop : Record of Deaths 1919-1921, Part 164

Author: Winthrop (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 1192


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 164


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).


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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 town where 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 containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certi- ficate 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 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 required of the attending physician. If death is caused by violence, the medical examiner shall make such certi- ficate. ... The person to whom the permit is so given and the physi- cian certifying 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. - Gen. Laws, Chap. 114, Sec. 45.


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. - Gen. Laws, Chap. 38, Sec. 6.


. . . He shall in all cases certify to the town clerk or registrar in tho place where the deceased died his name and residence, if known; other- wise a description as full as may be, with the cause and manner of death. - Gen. Lows, Chop. 38, Sec. 7.


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.


(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), 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 occupation, the sudden deaths of persons not disabled by recognized disease, and those of persens found dead.


-301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


Hunthrop BOSTON


........


(City or Town)


1 PLACE OF DEATH


County.


Anthrop


City or Town


Boston


No.


State.


Ho Chester


Registered No. Que


Str. Ward


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


2 FULL NAME


alice Churchill.


(If in the Army or Navy of the United States, give rank, organization, etc.)


Ward.


(If non-resident give city or town and State)/


Leogth of residence in city or towo where death occurred


28


years


mooths


days.


How long io U. S., if of foreign birth ?


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


W.


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


married


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


Gilbert +.


6 DATE OF BIRTH


July


( Montți)


(Day)


(Year)


7 AGE


Years


61


Months


9


Days


29


If LESS thao 1 day, ........ h:s. or ....... mio.


If STILLBORN, eoter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


Ed home.


(h) Name of employer


Westport, n.S.


9 BIRTHPLACE (City)


(State or country)


10 NAME OF


FATHER


Joseph Collins.


11 BIRTHPLACE OF


FATHER (City)


(State or country)


Heet port, n.S.


12 MAIDEN NAME


OF MOTHER


LE Hannah Harris.


13 BIRTHPLACE OF MOTHER (City) (State or country)


Harmouth NS.


14 Gilbert 7. Churchill


Informant


(Address)


40 Cheeter Que-


15 mais 20/1991


Filed .. (Month) (Day) (Year)


REGISTRAR


20 UNDERTAKER


C. R. Brunson


ADDRESS


ruthrop


21 I HEREBY CERTIFY that a satisfactory stao- dard certificate of death was fled with me BEFORE the burial or transit permit was issued. I.a. Maury


Official ....... position


Date of


Theatthe office of


Man 9


Permit


No. 274


-


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


(Day)


(Year)


17


| HEREBY CERTIFY, That I attended deceased from


Fely 25


, 1921


to.


19


6


21-


that I last saw h ...


alive on


19


and that death occurred, on the date stated above, at.


11


$7


m. The CAUSE OF DEATH was as follows : acute pulmonary accenna pour


Cardio - vascular disease,


Chiavi valencia Heart leccese


weute arterie reduction amigos mos ................. ds.


CONTRIBUTORY


(SECONDARY)


.(duration)


.yrs ..............


mos ..


ds.


18 Where was disease contracted


if not at place of death?


FOR .WHAT-P


Did an operation precede death ?


20


Date of


Was there an autopsy ?


no


What test confirmed diagnosis ?


(Sigoed)


(Address) 123 Winfried SI Pruebas


Date 2 way 1421


( Month)


(Day)


(Year)


19 PLACE OF, BORIAL, CREMATION, OR REMOVAL


Huithrop


Huthup


DATE OF BURIAL 5/9


(Cemetery)


(City or town) (


M.D.


PARENTS


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.


.


Suffolk


Massachusetts


13


(a) Residence. No


( Usual place of abode)


to Chester Quest


1859


may 6


6


1421


may 6, 19 71 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 knowa. The question applies to each and every persou, irrespective of age. For many occupations a single word or term on the first line will be sufficient, o. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. Butin many cases, especially in industrial employments, it is uecessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore au additional line is provided for the latter statement; it should be used only when needed. As cxamples: (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 minc, 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, aud children, not gainfully employed, as At school or At home. Care should be taken to report spc- 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), usiug always tho same accepted term for the same discase. Examples: Cere- brospinal fever (the only definite synonym is "Epidemie cerebrospinal nicningitis"); 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 definito; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not bo stated unless important. Example: Mcasles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or termiual conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma.""Convulsions," "Debility" ("Congenital,""Senile." etc.), "Dropsy,""Exhaustion,""Heart failure,""IIcmorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all discases resulting from childbirth or miscarriage, as "PuEk- FERAL septicemia, " "PUERPERAL peritonitis, " etc.


State causo for which surgical operation was undertaken.


(Recommendations on statement of causo of death approved by Com- mittee on Nomenclature of the American Medical Association.)


Bronchopneumonla: If primary cause, write the word "pri- mary " ; if secondary, give primary cause.


Certificatos will be returned for additional information which give any of the following diseases, without explanation, as the solo cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, orysipelas, meningitis, miscar- riago, Docrosis, peritonitis, phiebitis, pyemla, septicomia, 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 lie 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 discase of which he dicd [defined so that it can bo 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 tho 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 thero 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 licu thereof a certifi- cato as hereinafter provided. If there is no attending physiclan, 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 por- Init is so given and the physician who certifies to the cause of death shall thereafterfurnish 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, Scc. 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 causo 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, Scc. 8.


RULES OF PRACTICE


The fulfilment of the purpose of these laws calls for the observaace 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 discase unrelated to any form of injury.


(2) Board of Health Physiclans 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.


(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), 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 occupation, the sudden deaths of porsons not disabled by recognized disease, and those of persons found dead.


The Commonwealth of Massachusetts


CERTIFICATE OF DEATH OF NON-RESIDENT


(City or town)


1 PLACE OF DEATH


County


Plymouth


State


mass


Registered No.


42


(Place of death)


Registered No ..


86


--


City or Town


middleboro


No.


Highland


(Place of residence)


St.,


Ward


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


Beatrice metholdt


(If in the Army or Navy of the United States, give rank, organization, etc.)


(a) Residence.


State


(Usual place of abode)


Length of residence io city or town where death occurred


years


months


days


How loog io U. S., if of foreign hirth?


years


mooths days


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


Female white


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


single


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


6 DATE OF BIRTH (month, day, and year) Jan. 15, 1894


Years


27


Months


Days


22


If LESS thao


I day. ........ hrs.


or ....... min.


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kiod of work


Clerk


9 BIRTHPLACE (city or town).


Anthrop


(State or country)


mass.


10 NAME OF FATHER Louie J. metholdt


11 BIRTHPLACE OF FATHER (city or town) denmark


(State or country)


12 MAIDEN NAME OF MOTHER Many Grace


13 BIRTHPLACE OF MOTHER (city or tom) Lancaster


(State or country)


ra.


14 Louis J. Metholdt


15


Filed .. May 11, 1921 a. a. Thomas


Registrar of city or towa wbere death occurred Filed une !!. 1921.


Registrar of city or town where deceased resided


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH (month, day, and year)


may 7


1921


17


I HEREBY CERTIFY, That I attended deceased from


may


6


, 1921, to May 7


to ...


. 1921


that I last s&w h


alive on


3 a.


m.


The CAUSE OF DEATH* was as follows:


may


6


192/


and that death occurred, on the date stated above, at


* 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.) Tuberculosis,


pulmonary


(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?


.Date of


Was there an autopsy?


What test confirmed diagnosis?


(Signed)


alfred


Elliott


M.D.


5/7


, 19,2_/ (Address)/


middleboro


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Winthrop Cemetery


DATE OF BURIAL May 1/ 1021


ADDRESS


20 UNDERTAKER


C. R. Dennison Winthrop


of certificate.


3 SEX


7 AGE


PARENTS


Informant


(Address)


carefully supplied. . AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,


(h) General nature of iodostry,


business, or establishment in


which employed (or employer)


(c) Name of employer


so that it may be properly classified. Exact statoment of OCCUPATION is very important. See instructions ou back


middletoro .......


......


2 FULL NAME


mass.


City or Town


Winthrop


No.


Pleasant


St.


If STILLBORN, enter that fact here


3


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 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- eifically 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 DEATII, 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 Nonc.


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 terin for the same disease. Examples: Cerebrospinal fever (the only definite synonyın is "Epidemie cerebrospinal inenin- 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- loneum, 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 Gs .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Ancinia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions,"" "Debility" ("Con- genital," "Senile," ete.), " Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from chikdl- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHIS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably sueli, 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,


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.


M R-303


The Commonwealth of Massachusetts


MEDICAL EXAMINER'S CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


(ISSUED UNDER THE PROVISIONS OF REVISED LAWS, CHAPTER 24)


Mars.


Registered No


94


2 FULL NAME


Margarit


R


Greenlaw


(If in the Army or Navy of the United States, give rank, organization, etc.)


(a) Residence. No.


(Usual place of abode)


n.H


St.


Ward.


Dover N. H.


( If non-resident give city or town and State)


Length of residence in city or town where death occurred


years


1


months


14


days


How long in U. S., if of foreign birth?


years


mooths


days


PERSONAL AND STATISTICAL PARTICULARS


13 SEX


termale


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


Frederick W. Green taux


6 DATE OF BIRTH


ang


( Monthy


27


(Day)


1881


(Year)


7 AGE


39


Years


8 Months


11


Days


If LESS than


I day, ...... hrs.


If STILLBORN, enter that fact here


If STILLBORN, state period of uterogestation


months


or ....... min.


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


(b) General nature of industry,


business, or establishment in


which employed (or employer)


(c) Name of employer


9 BIRTHPLACE (City).


Sussex


(State or country)


Kings Com


NV. B.


10 NAME OF


Rufus S. atleinson


FATHER


11 BIRTHPLACE OF


FATHER (City)


(State or country)


amherst


PARENTS


12 MAIDEN NAME OF MOTHER


IE Margaret Channoi


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


London


Eng.


14 Rufus atkinson


Informant


(Address)


91 Lebanon At Melrose


15


May 20, 19%.


Filed !


(Montin) (fay) ( Year)


REGISTRAR


21 Burial permit


issued by


J. a. Maury


Official position


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH.


(Month)


Than


8


(Day)


19 21


(Year)


17 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows : natural Causes, Character indeterminato


probably


Rulmany Interculin's.


(no medical ciltundance)


(See reverse side for description for unknown person)


18 Where was injury sustained


if not at place of death?


(Signed) ....


Lenge Burger Magnet


... , M.D.


..


Medical Examiner for


Suffolk


Date


man


8


1921


(Month)


(Day)


(Year)


19 PLACE OF BURIAL, CREMATION, or REMOVAL


Wyoming


Melrose Masa


DATE OF BURIAL


May 11 1'2.


(Month) (Day) (Year)


(Cemetery)


(City or town)


20) UNDERTAKER


James L. Goredey


ADDRESS


31 x mariner et


Everett


Heath offices 22 22 Date of issue 5/59/21.


Permit No ... 273


County


Suffolk


City or Town Withup


State


No.


104 Highland ane


St.,


Ward


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


11,669


should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms, N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information for extracts from the laws relative to the return of certificates of death. so that it may be properly classified under the International Classification of Causes of Death. See reverse side


N.X.


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 stand- ard 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 state- ment containing the facts required by law to be re- turned and recorded, which . . . shall be accompanied by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as herein- after 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 permit 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.




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