USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1938 > Part 67
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(Signed)
..... N.C.Baker
M. D.
(Address) .
Mass General Hosp
Date
8/15
19
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
For cemetery
Pale
DATE OF BURIAL
8/17/88
19
22 NAME OF
UNDERTAKER
B.E ... burns
ADDRESS
Malden
Received and filed
SEP-1-5-1938
19
Danstrar of City or Town where deceased resided)
.
St.,
....
Ward
(L U. S.
War Veteran,
specify WAR)
166
Winthrop
(a)
Residence. No.
(Usual place of abode)
Length of residence in city or town where death occurred
yrs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
1
AGE
Years Months Days
year)
13 NAME OF
FATHER
Leigh E Romina
٥٠
R-305
1
PLACE OF DEATH
SUFFOLK (County)
BOSTON
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON (City or town making return)
Registered No
7091
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Alice ..... Cordes
(If deceased is a married, widowed or divorced woman, give also maiden name.)
War Veteran,
specify WAR)
(a) Residence. No ..
15 ashington
St.,
.....
.Ward,
Winthrop
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
yrs.
mos.
days.
How long in U. S., if of foreign birth?
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
F
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Larr
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Joseph .I.Gordos
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 AGE. 52 Years 5 Months 6 .... Days
If less than 1 day
Hours
Minutes
OCCUPATION
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ..
housewife
9 Industry or business in which work was done, as silk mill, saw mill, bank, etc ..
at home
10 Date deceased last worked at
this occupation (month and
year)
11 Total time (years)
spent in this
6/38
occupation 35
12 BIRTHPLACE (City) (State or country)
Brookton
13 NAME OF
FATHER
Horace W Tinkem
PARENTS,
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Middleboro
15 MAIDEN NAME
OF MOTHER
Emma D Park
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Indianola Texas
17
husband
Informant
(Address)
A TRUE COPY
Heida Ofedition Quinte
ATTEST:
(Registrar of city or town where death occurred)
8/30/38
19
...
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
August 26/38
(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)
acute cardiac failure
diabetes mellitus
20 If death was due to external causes (VIOLENCE) fill in the following :
Accident,
Suicide or
Homicide ?
Where did injury occur ?
Manner of
Injury
Nature of
Injury
21 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
.. C.J .... O Leary
M. D.
(Address)
...... Boston
Date
8/29 .38
22 PLACE OF BURIAL,
CREMATION OR REMOVAL
cemeteryop
... Inthron
(City or town)
DATE OF BURIAL
6/30/36
19
23 NAME OF
UNDERTAKER
A.J ... Falton
ADDRESS
Melrose Hopniende
19
Received and filed
SEP 1 5 1938
(Registrar of City or Town where deceased resided)
25m-2-'30. No. 7997-0
DATE FILED
No. Peter Bent Brigham Hosp
St., .................
Ward
167
(Usual place of abode)
(write the word)
Date of injury.
19
(City or town and State)
R-305
PLACE OF DEATH
Norfolk
(County)
Medfie 1d (City or Town) Medfield State Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Medfield
(City or town making return) Registered No. 77
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME
Mary Delia Mccarthy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
5 Wave
St., ..............
Ward, Winthrop, Mass.
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
6m. 11
15
mos.
days. How long in U. S., if of foreign birth? 53
yra.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Single
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE
Years
Months.
Days
If less than 1 day
.Hours
Minutes
OCCUPATION
8 Trade, profession, or particular
kind of work done, as spinner.
sawyer, bookkeeper, etc ....
None
9 Industry or business In which
work was done, as slk mill,
saw mill, bank, etc.
10 Date deceased last worked at
this occupation (month and
year) .
11 Total time (years)
spent in this
occupation ..
12 BIRTHPLACE (City)
(State or country)
Ireland
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Margaret Manion
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
17
Informant
(Address)
Medfield St. Hosp.(
Relation, if any necoras )
A TRUE COPY.
ATTEST:
Charles H. Keinstead
(Registrar of city or town where death occurred)
Sept. 14,
1938
DATE FILED
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
August 30,
1938
(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)
Cardiac Hypertrophy accompanied by Pulmonary and Cerebral Edema.
Found dead in bed.
20 If death was due to external causes (VIOLENCE) fill In the following:
Accident,
Suicide or
None
Date of Injury
19
Where did
Injury occur?
Manner of
(City or town and State)
Injury
None
Nature of
Injury
Was there an autopsy?
21 Was disease or Injury in any way related to occupation of deceased? NO
If so, specify.
Harold L, Shenker
(Signed)
W. Medway, Bass.
Date
8/30,
38
.19 ..
22
Siste Cemetery
(City or Town)
1938+
28 NAME OF
UNDERTAKER
Joseph A. Roberts
ADDRESS
Vedfield, Nags.
Received and filed
SEP 1-5 1938
19
(Registrar of City or Town where deceased resided)
1
No.
St.,
Ward
(If U. S.
War Veterans,
specify WAR)
168
(a) Residence. No ...
(Usual place of abode)
mos.
25m.11.'36. No. 9080.h
Medfield
Place of Burial. Cremation or Removal.
DATE OF BURIAL Sept. 12,
(Address)
Homicide?
13 NAME OF
FATHER
Thomas Mccarthy
6
-301A
PLACE OF DEATH
Suffolk ( County) Sauthropo
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.
169
§ (If death occurred in a hospital or institution,
Ward ( give its NAME' instead of street and number)
20 Eliza DIlawson
(If deceased is a married widowed or divorced woman, give also maiden name.)
23 Staldemar Csere
.Ward,
(If nonresident, give city or town and state)
months
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
start-
1
(Manth)
(Day)
(Year)
19 I HEREBY
CERTIFY, That | attended deceased from
V
.,
195$, 10.
Sant!
193 8
I last saw h ............ alive on
augusto, 1930,
death is said
to have occurred on the date stated above, at 5 A. m. The principal cause of death and related causes of Importance in order of onset were as follows:
Date of Onset IMPORTANT
Contributory causes of importence not related to principal cause:
...
Name of operetion
Whet test confirmed diagnosis?
Dete of
Was there an eutopsy?
20 Wes disease or injury in any, wey related to occupation of deceased?
If so, specify
Haura culillo
(Signed)
., M. D.
(Address)
Dete ..
9/ 1934
21
l'lace of Burial, Creination, of Removal. DATE OF BURIAL Sept. 3
(City or Town) 19 3A
22 NAME OF
UNDERTAKER
ADDRESS Char Breton
Received and flied.
SETT
19 ...... ....
(Registrar)
100m 11 36 No 9080 F
I HEREBY CERTIFY that e satisfactory standard certificate of deeth wes filed with me BEFORE the burial or transit permit wes Issuad: William B. Childress (Signature of Agent of Board of Health or other)
agent Sept- 3/38
(Official Designation) (Date of Issue of Permit)
(write the word)
66 If married, widowed, or divorced HUSBAND of ..............
(Give maiden name of wifeouly
(Husband's name in full)
6 IF STILLBORN, enter thet fect here.
7 AGE . 86. Years. .Months Days
If less then 1 dey Hours .. Minutes
8 Trade, profession, or particuler kind of work done, as spinner, sawyer, bookkeeper, etc .... 9 Industry or business in which work was done, as silk mill,
ax Home
Done
1O Date deceased last worked at
11 Total time (years)
spent in this
occupation.
this occupetion (month end
year)
Portland
13 NAME OF
FATHER
Thomas Sowell
14 BIRTHPLACE OF
FATHER (City)
Duland
15 MAIDEN NAME
OF MOTHER
Ellen Ainien
mary In Deering
Relationif any vain
17 Informant (Address) 23 Staldemar ane
1
2 FULL NAME
8 SEX-
(or) WIFE of
OCCUPATION
12 BIRTHPLACE (City)
(State or country)
(State or country)
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
important. See instructions and extracts from the laws on back of certificate.
in plain terms, so that it may be properly classified. Date of onset and exact statement of OCCUPATION are very
saw mill, bank, etc.
4 COLOR OR RACE
Shuit
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(a) Residence.
No.
(Usual place of abode)
Length of residence in city or town where death occurred> 2 years
months
days.
How long in U.S., if of foreign birth?
years
(If U. S. War Veteran
specify WAR)
(City or Town) 23 Stallenvar Comes. No.
Statement of occupation. l'recise statement of occupation is very important, so that the relative healthfulness of various pur- suits 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 bus- iness, 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 whatever 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 deccased followed the occupation.
In stating the occupation, avoid the use of such indefinite terms as "employee," "worker," "operative," etc. Find out the partic- ular kind of work done and return that, as SPINNER, WEAVER, etc.
In stating the industry or business, avoid the use of such gen- eral terms as "store," "factory," ""mill," etc. State the particular kind of store, factory, mill, ctc., as GROCERY STORE, SOAP FACTORY, COTTON MILL. ctc.
Distinguish carefully the different kinds of engineers by stating the full descriptive titles. as CIVIL ENGINEER, MECHANICAL ENGIN- EER, MINING ENGINEER, STATIONARY ENGINEER, ctc. . 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 carcfully 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 causc name the disease causing death. . Is 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 ......
1915
Chronic interstitial nephritis ...
1921
Cerebral hemorrhage
July 5. 1927
Contributory causes of importance not related to principal cause :
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.
with. alter the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the hest of his knowledge and belief the name of the deceased, his sup- posed 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 late of his death. . .. GEN. LAWS, CHAP. 46, SEC. 9.
No undertaker or other person shall hury 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 hoard, 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 hoard of health or its agent aforesaid or from the clerk of the town where the hody is buried. No such permit shall be issued tintil there shall nave been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement con- taining the facts required by law to be returned and recorded. which shall be accompanied. in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as re- ouired by law, or in lieu thereof a certificate as hereinafter pro- vidled. If there is no attending physician, or if, for sufficient rea- sous, his certificate cannot be obtained early enough for the pur- pose. 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 attend- ing 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 an- other within the commonwealth 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 a removal shall constitute a permit for such removal : provided. that such body shall be returned to the town from which it was re. moved 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 required 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 ap- pear upon the permit. The board of health. or its agent, upon receipt of such statement and certificate, shall forthwith counter- sign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician cer- tifying 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. (TER- CENTENARY 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 he held, or from a person appointed to have the care of the cemetery 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 ob- servance 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 supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septi- cemia), and hy 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.
-301A
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town) No 22 Washington Avenue
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.
120
Registered No.
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
2 FULL NAME.
William Caleb Johnson
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ..
(Usual place of abode)
22 Washington Avenue Xx
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred 28 yrs.
mos.
days. How long in U. S., if of foreign birth?
yTS.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
Lorena J. Elliott
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7 6.2 Years. 3 Months .. .Days
If less than 1 day
.Hours.
.. Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ....
Supt. Railway Ex-
press
saw mill, bank, etc.
10 Date deceased last worked at
11 Total time (years)
this occupation (month and
June 1938pent in this
46
occupation
12 BIRTHPLACE (City).
DorchesterCounty
(State or country)
Maryland
13 NAME OF
FATHER
William T. Johnson
14 BIRTHPLACE OF
Unable to obtain
FATHER (City)
(State or country) maryland
15 MAIDEN NAME
OF MOTHER
Maria Woodland
16 BIRTHPLACE OF
MOTHER (City)
Unable to obtain
(State or country)
Manfland
17 Lorena J. Johnson
(wife
Informant .. (Address) .2 washington Ave . Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE tho burial or transit permil was issued:
(Signature of Agent of Board of Health or other) Lekt 3/38
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
September 2
1938
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from august 17
, 1938, to Sept. 2
19 .. 38
I last saw him alve on Sept
19.238 .. , death is sald
to have occurred on the date stated above, at .. ]: A5. A.m.
The principal cause of death and related causes of Importance In order of onset
were as follows:
Date of Onset IMPORTANT
Chronic nephritis
1935
chronic myocarditis
1936
Contributory causes of importance not related to principal cause: postatic pneumonia
8/31/38
Name of operation.
What test confirmed diagnosis? Clinical
.Date of.
Was there an autopsy ?... NO.
20 Was disease or injury in any way related to occupation of deceased?
NO
If so, specify I die w ribrusou
M. D.
(Signed)
(Address) 89 Somerset Att Con Date 912 19 38
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthron
inthron
DATE OF BURIAL
Sent.
4
(Cemetery)
(City or town)
38
19
22 NAME OF
Charles R. Bennison
UNDERTAKER
ADDRESS
winthrop Mass
Received and filed.
SEP 7 1938
19 .....
(Registrar)
100m-12-'34. No. 2938-f
1
Relation, H any
..... .Ward
(If U. S. War Veteran, specify WAR)
1 3 SEX Male AGE OCCUPATION PARENTS information should be carefully supplied. Aus should be stated Encial. FillDicland should state year) CAUSE OF DEATH 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.
9 Industry or business in which work was done, as silk mill, Office
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 wliose 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," ""operativc," 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 engincer, 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 causc. 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: Arteriosclerosis
Date of onset
Chronic interstitial nephritis
102X
Cerebral hemorrhage
July 5. 1927
Contributory causes of importance not related to principal cause:
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.
A physician or registered d 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 scen alive by the physician or officer and the date of his death .... Gen. Laws, Chap. 46, Sec. 9.
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