USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 90
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(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 persons found dead.
R-302
The Commomuralth of Massachusetts
STANDARD CERTIFICATE OF DEATH
BOSTON (City or town) Registered No .. 4283
County.
Suffolk State
Massachusetts
Registered No.
79
(Place of residence)
St.,
5 ... Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Ellen F Lewis
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
State
Mass
City or Town.
Winthrop ......
No.53 Lomust Street St.
(Usual place of abode)
Length of residence in city or town where death occorred
years
mooths
days
How long in U. S., if of foreign hirth?
years
months days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Female
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
6 DATE OF BIRTH (month, day, and year) April 6 1854
7 AGE
Years
Months
Days
If LESS than
62
2
1 day, ........ hrs. or ........ min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
Housewife
(h) Name of employer
9 BIRTHPLACE (city or town).
Charlestom Mass
(State or country)
10 NAME OF FATHER Jeremiah Quigley
PARENTS
11 BIRTHPLACE OF FATHER (city or town)
(State or country)
Ireland
12 MAIDEN NAME OF MOTHER
What test confirmed diagnosis ?.
(Signed)
George B Magrath
M.D.
, 19 20 (Address)
Medical Examiner
14
Informant
Catherine Mc Caffrey
(Address) 53 Locust Street
15
Filed Apr IQ 19 20.
Registrar of city or town where death occurred Filed May 12, 19 20 Bessie 1. Dodge
asst Registrar of city or town where deceased resided
19 PLACE OF BURIAL, CREMATION, OR REMOVAL Evergreen Cemetery
20 UNDERTAKER
J. F. Mc Glinchey
DATE OF BURIAL Apr 10 19 20 ADDRESS Chelsea
-13-'19. 25,000
of certificate.
MARVIN ALOLITTLE FOR DINDING
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,
L
Natural Causes
Cardio Renal Disease
(Sudden Death)
(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 ?.
13 BIRTHPLACE OF MOTHER (city or town) (State or country)
16 DATE OF DEATH (month, day, and year) April 8 19 20
17
I HEREBY CERTIFY, That I attended deceased from
, 19 ...
.. , to.
1920
that I last saw h ...
......... alive on
and that death occurred, on the date stated above, at m. The CAUSE OF DEATH* was as follows:
* 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.)
1920
1 PLACE OF DEATH
(Place of death)
City or Town
Boston
No.
18. Tremont Street
MEDICAL CERTIFICATE OF DEATH
apr. 0. 1 /2"
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 ean 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 Ptanter, 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," "Dcaler," etc., without more precise specification, as Day laborer, Farm laborer, Laborcr - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekcepers 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- eated thus: Farmer (retircd, 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"); Diphthcria (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- eurrent) affection nced not be stated unless important. Example: Mcaslcs (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (mcrely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions,"" "Debility" (" Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shoek," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from 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 carbolic acid - probably suicide. The nature of the injury, as fracture of skull, Ierenquanong to 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 eaused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, ete.
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 eircumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE FOR FURTHER STATEMENTS BY
PHYSICIAN.
A
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,
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
(City or town)
1 PLACE OF DEATH
County
Township
.or Village.
or
St ....... Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Cuthbert Euchberte Genden
2 FULL NAME
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No .... B5 miarue LL St., Ward.
(Usual place of abode)
Length of residence in city or town where death occurred
3 years 6 months
days.
How long in U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
mace
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH (month, day, and year)
Van. 4
1800
7 AGE
Years
Months
Days
10
4
5
If LESS than 1 day, ........ hrs. or ........ min.
8 OCCUPATION OF DECEASED ‹
(a) Trade. profession, or
particolar kind of work
Coffee Suche
(b) General nature of industry, business, or establishment in which employed (or employer) (c) Name of employer
tothe works
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)
1218 melcult
M.D.
1
* 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
-
DATE OF BURIAL
april !!
19 2 0
(Address)
15
Filed May 1, 1920 Bessie L. Dodge asst. REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year) afil 9 19 20
17 I HEREBY -CERTIFY, That I attended deceased from
19. 21
„ to ...
abril q'
19.
that I last saw h Wy alive on ., 19.
and that death occurred, on the date stated above, at
1, 5m.
The CAUSE OF DEATH* was as follows :
Carcinoma of stomach
(duration)
yrs.
6
mos.
ds.
9 BIRTHPLACE (city or town).
(State or country)
10 NAME OF FATHER
PARENTS
11 BIRTHPLACE OF FATHER (eity
(State or country)
town) Ireland
12 MAIDEN NAME OF MOTHER Deeric Sinclair Kes 19 20 (Adres)
13 BIRTHPLACE OF MOTHER (eity or town)
(State or country)
Scotland
of certificate.
14
Informant
Family
State
man
Registered No.
68
City ......
No ..
85 main ds
(If non-resident give city or town and State)
20 UNDERTAKER
E.R .De
ADDRESS 12 meter
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 healthifulness 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, Architeet, 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 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 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 synonyın is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fcver (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; 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-
"Convulsions," "Debility" (“Con- lapse," ."' "Coma;"
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 discases resulting from ehild- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," ete. State eause 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
PIIYSICIAN.
R 15. 1-'18. 100,000.
RM R-301
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 should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
'18. 100,000.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATH
County
thatfolk
State Mars
Registered No. 69
St ........ .. Ward
(If death occurred in a hospital or institution, give its NAME instead of strect and number)
2 FULL NAME
Thomas. Dexter
-PPent
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No.
(Usual place of abode)
Ward.
(If non-resident give city or town and State)
Length of residence in city or town where death occurred
/
years
4
months
days.
How long in U. S., if of foreign hirth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Miami(
5a If married, widowed, or divorced HUSBAND of (or) WIFE of
6 DATE OF BIRTH
2200 14 = 1844
( Month)
(Day)
(Year)
7 AGE 75 Ycars
Months 29 Days
If LESS than
If STILLBORN, enter that fact here
If STILLBORN, state period of uterogestation
mos.
or
min.
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work (h) General nature of industry, business, or establishment in which employed (or employer)
(c) Name of employer
9 BIRTHPLACE (City)
cachituate
(State or country)
10 NAME OF
James Madison Bent
FATHER
11 BIRTHPLACE OF
FATHER (City)
cocheturate
(Statc or country)
12 MAIDEN NAME
OF MOTHER
Dias.Clã- Trobridge
13 BIRTHPLACE OF
MOTHER (City)
(ochituate
(State or country)
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
april
(Month)
(Day)
(Year)
17
I HEREBY CERTIFY, That I attended deceased from
april 4
, 19 20, to april 12
, 19.20,
that I last saw him alive on . april 12
, 1920,
and that death occurred, cn the date stated above, at
8.30 p.
m.
The CAUSE OF DEATH was as follows :
Chemin intentative replication
Chronic valundan want desemana
(duration)
3
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 ?
No Date of
Was there an autopsy ? .
no.
What test confirmed diagnosis ?
personal whenvater
(Signed)
R.C. Parken
, M.D.
(Address)
Winthrop. man.
Date
april.
13
1920.
( Year)
( Month)
( Das)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
cochitecate man
(Cemetery) Zeker Via
(City or town)
DATE OF BURIAL
W/m 2 14 1920
20 UNDERTAKER
ADDRESS
15 May 1, 1920 Bessie L. Lodge Filed (Month) (Daf) (Year)
asst. REGISTRAR
21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was fled with me BEFORE the horial or transit permit was issued
S.h. maury
Official position
Weallthe office apret 14 22 Date of issue of hurial er, transit permit
12
1920
,
I day,. .. hrs.
PARENTS
14
Marcher. But
Informant
(Address)
City or Town Nicuchiot No. 8.5 Jun, Sicer ave
apr. 12. 1920 REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Poblic Health Association]
Statement of occupation. - Precise etatement of occupation is very important, so that the relative healthfulness of various pureuits can be known. The question applies to each and every person, irrespective of age. For many occupatione a single word or term on the firet line will be eufficient, o. g., Former or Plonter, Physicion, Compositor, Architect, Locomotive engineer, Civilengineer, Stotionory firemon, ctc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and aleo (b) the nature of the businese or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. Ae examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Forcmon, (b) Automobile foctory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dcaler," ete., without more precise specification, as Day laborer, Form loborer, Laborcr -- Cool mine, etc. Women at home, who are engaged in the duties of the houee- 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 domeetie eervice for wages, as Servont, Cook, Housemoid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, etate occupation at beginning of illness. If retired from business, that fact may be indicated thus: Former (retired, 6 yrs.). For persone 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), ueing always the eame accepted term for the eame disease. Examplee: Cere- brospinol fever (the only definite synonym is "Epidemie cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonio ("Pneumonia," unqualified, ie indefinite); Tuberculosis of lungs, men- inges, peritoneum, ete., Carcinoma, Sarcoma, etc., of .......... (name origin; "Cancer" is lese definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heort diseose; Chronic interstitiol nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (discase causing death), 29 ds .; Bronchopneumonia (eccondary), 10 ds. Never report mere eymptome or terminal conditions, euch ae "Aethenia," "Anemia" (merely eymptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," ete.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," ete., when a definite disease can be ascertained as the cause. Alwaye qualify all diseases resulting from childbirth or miscarriage, ae "PUER- PERAL septicemia," "PUERPERAL peritonitis," ete.
State cause for which surgical operation was undertaken.
(Recommendations on statement of cause of death approved by Com- mittce on Nomenclature of the American Medical Association.)
Bronchopneumonia: If primary causo, 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 solo cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlobitis, 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 illnese, 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 hie last illness, when last seen alive by the physician, and the date of his death. . . . - Revised Laws, Chop. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 322.
No undertaker or other person ehall bury a human body . . . until he has received a permit from the board of health or ite agent, . . . or . . . from the clerk of the city or town in which the pereon 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 ... ehall 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 pereon to whom the per- mit is eo given and the physician who certifies to the cause of death ehall 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 Lows, Chop. 78, Scc. 38.
Medical examinere 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 ehall make examination upon the view of the dead bodies of only such persons as are eupposed to have come to their death by violence. - Revised Laws, Chop. 24, Sec. 8.
RULES OF PRACTICE
The fulfilment of the purpose of these laws calle for the observance of the following rulee of practice:
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