USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1922-1924 > Part 65
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1
years
2
months 15
days
How loog in U. S., if of foreign hirth?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
MIale
4 COLOR OR RACE
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)
7 AGE
Years
43
Months
7
Days
14
If LESS thao
1 day, ........ hrs.
or ........ min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
La bo rer
(b) Name of employer
(duration)
4
yrs.
mos.
ds.
CONTRIBUTORY
(SECONDARY)
(duration)
.yrs.
mos.
ds.
10 NAME OF FATHER
Axel
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 ?.
jassermann
(Signed)
Ianly B Root
M.D.
11 /24 1922( Address)
Worcester
14
Informant
Worcester state Hospital
(Address)
Records
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Mit Hope
Boston
DATE OF BURIAL
Nov 26 1922
15 FiledNov 28 .122
Registrar of city or town where death occurred
Filed
19
Registrar of city or towo where deceased resided
19. 25,000
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back
PARENTS
11 BIRTHPLACE OF FATHER (city or town) ..
(State or country)
Sweden
12 MAIDEN NAME OF MOTHER
Augusta Hagman
13 BIRTHPLACE OF MOTHER (city or town)
(State or country)
Sweden
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year) Nov 24
19
22
17
I HEREBY CERTIFY, That I attended deceased from
Sept 9
to
19.
21
Hov 24
22
19
im
Nov 24
22
that I last saw h.
alive on
19
and that death occurred, on the date stated above, at
10.30 A
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.)
General paralysis of the insane
9 BIRTHPLACE (city or town).
(State or country)
Sweden
of certificate.
Registered No.
(Place of death)
City or Town
Horcest :r
Nworcester State Hospital
.. ,
20 UNDERTAKER
Charles 0 Nordling
ADDRESS
Boston
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 inany 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 necdcd. 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, Laborer - Coal mine, etc. Women at home, who are engaged in the dutics 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, Sareoma, 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- lapsc," "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.)
Casos 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.
302
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(City or town)
1 PLACE OF DEATH
County
Suffolk
State
Ma.SE .....
Registered No ...
163
(Place of residence) St., Ward
(If death occurred in a hospital or institution, give ita NAME instead of street and number) ,
2 FULL NAME
Eugene Russell Lewis
Mass.
City or TownWinthrop
No.
42 Moore
St.
Length of residence in city or town where death occurred
years
months
days.
How long in U. S., if of foreign birth ?
years
mouths
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married
15 DATE OF DEATH
(Month)
16
I HEREBY CERTIFY, That I attended deceased from
S.e.p.t ...
192.2 ..... to .. N.o ..... 2.5
19 .. 22 ..
that I last saw h
alive on
Nov. 25
22
19
6 AGE
Years
Months
Days
1 day ........ hrs.
68
If STILLBORN, enter that fact here
Carcinoma.o.f ...... rectum
7 OCCUPATION OF DECEASED
(s) Trade, profession, or
particular kind of work
Decorator
(b) Name of employer
Filenes Dept. Store Boston
8 BIRTHPLACE (city or town)
(State or country)
Stratford, Conn.
(duration)
mos.
.ds.
CONTRIBUTORY
Obstruction of bowels
(SECONDARY)
.(duration)
yrs.
......
mos.
.1
ds.
10 BIRTHPLACE OF
FATHER (city or town)
(State or country)
Barnstable , Mass.
11 MAIDEN NAME
OF MOTHER
Mary Trask
12 BIRTHPLACE OF
MOTHER (city or town)
(State or country}
Georgetown, Me.
17 Where was disease contracted
if not at place of death ?
Did an operation precede death ?
J.C.SDate of
Oct.14/22
Was there an autopsy ?.
no
What test confirmed diagnosis ?
(Signed)
Percy Rowe
M.D.
, 19
(Address)
218 Main St. Nov . 25/22
18 PLACE OF BURIAL, CREMATION, OR REMOVAL
DATE OF BURIAL
Winthrop,
Winthrop
Nov.28/22
19 UNDERTAKER
1200
C .R . Bennman
ADDRESS
Winthrop
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH In plain terms, so that it may be properly olassifled. Exact statement of OCCUPATION is very important. See instructions on back
of certificate.
13
Informant
Jennie P.Lewis
(Address) 42 Moore St.Winthrop,Mass
14 Filed .. Nov.27, 182
Registrar of city or town where death occurred
Filed
193
.
Registrar of city or town where deceased resided
Chelsea
Registered No ...
655
(Place of death)
City or Town
Chelsea
No.
Memorial Hosp.
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. State.
(Usual place of abode)
Nov.85
1922
(Day)
(Year)
5a If married. widowed, or divorced
HUSBAND of
(or) WIFE of
Jennie P.Lewis
If LESS than
im
and that death occurred, on the date stated above, at.
7.p
m.
The CAUSE OF DEATH was as follows :
or ....... min.
yrs ..
6
9 NAME OF
FATHER
Almon
PARENTS
-
[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 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 mi'll; (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 aro 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," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," eto.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," ete., 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.
FROM THE LAWS O OF THE
COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his lastillness, 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 as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . .- Gen. Laws, Chap. 46, Sec. 9.
-
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 beissued 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 lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a 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 the 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. Laws, Chap. 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 persons found dead.
R - 301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
(City or town)
1 PLACE OF DEATH,
County ...... \
State.
mass.
City of TownLApittura
No.
75. Highland ave
Registered No.
16/
St.,
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Annie In Denchance
(a) Residence. No
(Usual place of abode)
Length of residence in city or town where death occurred
years
3
months
Ward.
( If non-resident give city or town and State )
months days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
15 DATE OF DEATH
nov 27"
(Month)
( Day)
( Year)
16 I HEREBY CERTIFY, That I attended deceased from
nov. 12
19 22 to
nov. 27 , 102?
nov. 25-
.19.ZZ
If LESS than
that I last saw h &h.
alive on
and that death occurred, on the date stated above, at.
7.9.m.
The CAUSE OF DEATH was as follows :
Chrome Valvular Heart disease
.. (duration) L Chronic Brights disease .. yrs .. .mos ... .. ds. 7
CONTRIBUTORY
(SECONDARY)
( duration)
.yrs ..
.mos ....
.. ds.
17 Where was disease contracted
if not at place of death ?
Did an operation precede death ?.
. Date of
Was there an autopsy ?.
no
What test confirmed diagnosis ?
(Signed)
GeorgeIn. Multart
, M.D.
(Address). 118 Princeton oh
Date
28 19220
(Month) (Day) ( Year)
18 PLACE OF BURIAL, CREMATION, OR REMOVAL
DATE OF BURIAL or 28/22
(Cemetery)
(City or towny
19 UNDERTAKER
ADDRESS
14 Sice. 7.1x22 (Month) (Day) (Year)
REGISTRAR RAR
20 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued
Albert S. Smitte
Official position
Secretary
Permit Date of issue of permit. 11/28/22, No 4/99
,000.
2 FULL NAME 6 AGE Years 70 (b) Name of employer 8 BIRTHPLACE (City) .. (State or country 9 NAME OF (unable to" 10 BIRTHPLACE OF FATHER (City) 11 MAIDEN NAME OF MOTHER PARENTS Informant (Address) 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 Filed ..... N. B .- WRITE PLAINLT, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD. Every item of Information (State or country)
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED ( write the word)
manved
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
John
Months
Days
1 day, ........ brs. or ....... min.
If STILLBORN, enter that fact bere
7 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work ....
ED At Home
CONEUEN
UNE
obtain)
DIEUEN
12 BIRTHPLACE OF MOTHER (City) ......... (State or country }
DIEUEN
13 Ciarance / Diveller
The Commonwealth of Massachusetts
15 HighlandCHE
(fish the Army or Navy of the United States, give rank, organization, etc. )
days.
How long in U. S., if of foreign birth ?
years
3 SEX
Female Mute
42
9.8.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precisc 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 wili be sufficient, e. g., Farmer or Planter. Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. But in many cases, especially in industriai 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, Es 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 NEATH (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 definito synonym is "Epidemie 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 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 or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertakeror 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 as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. ...- Gen. Laws, Chap. 46, Sec. 9.
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 dicd; . . . No such permit shall be issued until there shail have been delivered to such board, agent or cierk ... 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 lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a 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.
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