USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1935 > Part 37
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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; otherwise a description as full as may be, with the cause and manner of death .- Gen. Laws, Chap. 38. Sec. 7.
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the ceme- tery or burial ground in which the interment is made .... Chop. 114, Sec. 46, G. L. as amended.
RULES OF PRACTICE
The fulfillment 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 un- related to any form of injury, have died without recent medical attend- ance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably 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.
RM R-305
PLACE OF DEATH
Norfolk (County)
quincy (City or Town) No.81 .. Campbell
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Quincy
(City or town making return)
Registered No.
253
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME.Mary Ellen Goldthwaite (Phillips)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.10.Underhill
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
most
days.
How long in U. S., if of foreign birth?
yrs.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF April 23, 1935
DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully)
Otitis media
March 11
Broncho pneumonia
Hi
16
Pleurisy with effusion-March
19
Acute cardiac dilatation-/pr. 23
20 If death was due to external causes (VIOLENCE) fill in the following : Accident, Suicide or Homicide ?
Date of injury
19
Where did injury occur ?
Manner of
Injury
Nature of
No
Injury
No
21 Was disease or injury in any way related to occupation of deceased?
If so, specify Pred E. Jones
(Signed)
Quincy , Mass.
4-24-351. D.
(Address)
Date
19
22 PLACE OF BURIAL,
Cedar Grove-Dorchester
CREMATION OR REMOVAL
(City or town)
DATE OF BURIAL
April 86mete1935
19
NAME OF
B. A. Rus sell
UNDER
Quincy,
Mass
ADDRESS
Received and filed
April 27, 1935
19
A TRUE COPY, ATTEST:
(Registrar)
MARGIN RESERVED FOR BINDING
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. 9 Industry or business in which work was done, as silk mill, saw mill, bank, etc.
Housewife
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation ..
this occupation (month and 3-35
year) ..
12 BIRTHPLACE (City) (State or country) Nova Scotia
PARENTS,
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Annie MacIntosh
16 BIRTHPLACE OF MOTHER (City) (State or country) Nova Scotia
25M-11-'29. No. 7180-đ
17 Horace T. Goldthwaite
Informant (Address) 10 Underhill St. Winthrop, Mas
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: E. B. FitzGerald, M. D.
(Signature of Agent of Board of Health or other) Com 4-25-35
(Official Designation)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED arried
(write the word)
Female
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of Horace .T ..... Goldthwaite
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE 59 Years) Months .Days
If less than 1 day Hours .Minutes
3 SEX
4 COLOR OR RACE
White
.St.,
Ward,
(If U. S.
War Veteran,
specify WAR)
88
Winthrop, Mass.
(If nonresident, give city or town and state)
St., 4 Ward {
1
(Date of Issue of Permit) MAY 3
(City or town and State)
13 NAME OF FATHER Stephen Phillips
RR-301A
SUFFOLK
.....
(County)
WINTHROP
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No ..
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME.
Bettina (Rosenbaum) Kelly
{
(If U. S.
War Veteran,
specify WAR)
(a) Residence.
No ..... Fort ... Banks ..... Winthrop .... Mass ....... St., ..........
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
3
STs.
-
103.
- days. How long in U. S., if of foreign birth? 46 yrs. -mos. days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
April
23
(Month)
(Day)
(Year)
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
John
.. Kelly
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE ... 61
Years ... 2.
Months
.... Days
If less than 1 day
-
Hours ..........
.. Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc. Housekeeper
9 Industry or business in which
work was done, as silk mill,
saw mill, bank, etc. At home
10 Date deceased last worked at
11 Total time (years)
this occupation (month and
spent in this
occupation
12 BIRTHPLACE (City) Frankfurt, Germany (State or country)
13 NAME OF FATHER Sigfried Rosembaum
14 BIRTHPLACE OF
FATHER (City)
Frankfort. .... Germany.
(State or country)
15 MAIDEN NAME OF MOTHER Bertha Yoel
16 BIRTHPLACE OF
MOTHER (City)
Weilburg. ... Alsacd .. Lorraine.
(State or country)
Germany
17 Mrs .Paul L Freeman
Relation, if any ( ..... S.ISTER.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health or other)
4/23/35
(Official Designation) (Date of Issue of Permit} /
19 I HEREBY CERTIFY, That I attended deceased from August ... 6, 1934 .. , to .... April ... 23. 19 .. 35 I last saw h ... er ..... allve en .. April .. 23 19 ... 35 death is said
to have occurred on the date stated above, at. 12: 04 PM The principal cause of death and related causes of importance in order of onset were as follows: Data of Onset IMPORTANT
1 .... Carcinoma, ... scirrhous, ... mammary .. gland ...... left .. with.metatasis .. axillary. glands, 1/1/34
2. Carcinoma, metastatic to
lungs
2/5/35
Contributory causes of importance not related to principal cause:
radical
Name of operation Mastectomy, left, Date of Aug / 7/34 What test confirmed diagnosis ?. .Biopsy ... Was there an autopsy ?..... No
20 Was disease or injury in any way related to occupation of deceased?
NO
If so, specify
(Signed)
J.D .. YARBROUGH. D.
(Address).Fort Banks NAAS
Date Apr 23935
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Halcottville N. Y.
(Cemetery)
(City or town)
DATE OF BURIAL
April 25
19 .. 35
22 NAME OF
UNDERTAKER
Charles R.Bennison
ADDRESS
Winthrop Mass
Received and filed.
-------- 1935
19
(Registrar)
1935
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
1 8 SEX Female OCCUPATION PARENTS 100m-12-'34. No. 2938-f N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state year)
PLACE OF DEATH
(City or Town) No ... Fort.Banks .Winthrop. ... Mass. St., .. .Ward
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Usual place of abode)
Informant (Address) Fort Banks, Mass.
Revised Und
Stater Standard Certificate of Death
Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. Children not gainfully employed may be returned an at school or at home. For a woman whose only occupation was that of home housework, write housework in answer to Question 8 and own home in answer to Question 9. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family. cook-hotel, etc. For a person who had no occupation what- ever write none.
To be complete, an occupation return must state:
8 .- The trade, profession, or particular kind of work done.
9 .- The industry or business in which the work was done.
10 .- The month and year the deceased last worked at the occupation.
11 .- The number of years the deceased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee," "worker," "operative," etc. Find out the parti- cular kind of work done and return that, as spinner, weaver, etc.
In stating the industry or business, avoid the use of such general terms as 'store, " "factory,' "mill," etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, mining engineer, stationary engineer, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not' use the word "mechanic, " but give the exact occupation, as carpenter. painter, machinist, etc .. Distinguish carefully between retail merchants and wholesale merchants. A person who sells goods should be called a salesman and not a clerk.
Statement of cause of death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions. if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.
Example
The principal cause of death and, related causes of importance in order of onset were as follows:
Date of onset
Arteriosclerosis
....
............
Chronic interstitial nephritis
Cerebral hemorrhage
July 5, 1027
Contributory causes of importance not related to principal cause:
COMMONWEALTH OF MASSACHUSETTS
GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased. furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required 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 or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall ethume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satis- factory 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 certificate 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 physician 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 certificate. If such a permit for the removal of a human body. not previously interred, from one town to another within the common- wealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such re- moval; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as re- quired by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician 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. - Chap. 114, Sec. 45, G. L., (Tercentenary Edition.)
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; otherwise a description as full as may be, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.
No undertaker or other person shall bury a human. body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the ceme- tery or burial ground in which the interment is made .... Chap. 114. Sec. 46, G. L., (Tercentenary Edition.)
RULES OF PRACTICE
The fulfillment 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 un- related to any form of injury, have died without recent medical attend- ance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably 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, tho sudden deaths of persons not disabled by recognized discase, · and those of persons found dead.
In a group of causes containing the principal cause and related causes, the causes should be given in the order of onset, so that in a group of three causes the principal cause may appear in either first, second, or third position. The principal cause in the above example happens to be the second cause given.
.
FIR-301A
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every ILGILI VI is very important. See instructions and extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
SUFFOLK ....... .
(County)
WINTHROP
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
(If death occurred in a hospital or institution,
give its NAME instead of street and number) - (L U. S. War Veteran, specify WAR)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ...... ort ... Bank
(Usual place of abode)
Wim
St.,
.Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred Jrs. mot. days. How long in U. S., if of foreign birth? 4G yrs.
« mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH April 23 1935
(Month)
(Day)
( Year)
19 I HEREBY CERTIFY, That i attended deceased from August ... 6. 1964 ... , to ... April .. 23 19.35.
I last saw h.@x ..... alive on. April.23 19 ... 35, death Is sald
to have occurred on the date stated above, at. 1.2:04 F. The principal cause of death and related causes of importance in order of onset were as follows: Date of Qqset
1.Carcinoma ... moi
gland ... left with.no tais axillary
Elands, 2. Carcinoma, metastatic to
Jungs.
2/5/35
Contributory causes of importance not related to principal cause:
12 BIRTHPLACE (City)
Fr
nkfort. Germany
(State or country)
13 NAME OF FATHER Sigfried Rosembaum
14 BIRTIIPLACE OF
FATHER (City)
Frankfort Germany
(State or country)
15 MAIDEN NAME OF MOTHER Bertha Toel
16 BIRTHPLACE OF MOTHER (City) Weilburg.Alsace Lorraine
(State or country) Germany
17 's. Paul L. Free on
Relation, if any
Informant ... (Address) Fort Panks , Lass,
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health or other)
(Official Designation) (Date of Issue of Permit)
(Registrar)
100m-12-'34. No. 2938-f
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc .......
9 Industry or business in which work was done, as silk mill,
saw mill, bank, etc. At home
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation
-
this occupation (month and
year)
If less than 1 day
Hours.
... Minutes
OCCUPATION
-
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of Jobn Belly
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE.61 Years ... Months Days
PARENTS
If so, specify Vorabend (Signed) (Addres Fort Dans, Kass. DateApr 281,55
21 PLACE OF BURIAL, CREMATION OR REMOVAL (Cemetery) (City or town)
DATE OF BURIAL 19
22 NAME OF UNDERTAKER
ADDRESS
Received and filed. 19 ........
APR 2 3-1935
radioxã
Name of operation atury left ... . Date of ... Aug/7/34. What test confirmed diagnosis ?. Biopsy Was there an autopsy ?.... o
20 Was disease or injury in any way related to occupation of deceased?
J.D.Y. REDENIGE. D.
1
PLACE OF DEATH
No. Port Banka, Winthrop ... Mass
St., ..................... Ward
3 SEX
Female
Revised Mpeod States Standard Certificate of Death
Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the occupation prior to illness. If the deceased had retired from business, report the occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework in answer to Question 8 and own home in answer to Question 9. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation what- ever write none.
To be complete, an occupation return must state:
8 .- The trade, profession, or particular kind of work done.
9 .- The industry or business in which the work was done.
10 .- The month and year the deceased last worked at the occupation.
11 .- The number of years the deceased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee," "worker," "operative," etc. Find out the parti- cular kind of work done and return that, as spinner, weaver, etc.
In stating the industry or business, avoid the use of such general terms as "store,' "factory." "mill," etc. State the particular kind of store, factory, mill, etc., as grocery store, soap factory, cotton mill, etc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles, as civil engineer, mechanical engineer, mining engineer, stationary engineer, etc. Avoid the term "laborer" when a more precise statement of the occupation can be secured. Do not use the word "mechanic, " but give the exact occupation, as carpenter, painter, machinist, etc. Distinguish carefully between retail merchants and wholesale merchants. A person who sells goods should be called a salesman and not a clerk.
Statement of cause of death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause. Under contributory causes of importance not related to principal cause, name other important diseases.
Example
The principal cause of death and related causes of importance in order of onset were as follows:
Date of onset
Arteriosclerosis
...
Chronic interstitial nephritis
1021
Cerebral hemorrhage
July 5. 1027
...
Contributory causes of importance not related to principal cause:
COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required 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 or otherwise dispose a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satis- factory 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 certificate 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 physician 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 certificate. If such a permit for the removal of a human body. not previously interred, from one town to another within the common- wealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such re- moval; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as re- quired by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician 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. - Chap. 114, Sec. 45. G. L., (Tercentenary Edition.)
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