USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 20
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FATHER
George wilder
14 BIRTHPLACE OF
London
FATHER (City)
15 MAIDEN NAMargaret Burke
OF MOTHER
16 BIRTHPLACE OF
London
PARENTS
MOTHER (City)
England
(State or country)
17
Morhillips
Informant
‹
( Address)
DSH
A TRUE COPY.
?
tion should be 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
OCCUPATION
important.
50m-11-'36. No. 9080-g
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa-
(State or country)
England
(write the word)
single
If less than 1 day
Hours.
Minutes
10 Date deceased last worked at
11 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City)
(State or country)
England
Relation, if any
ATTEST:
(Registrar of city or town where death occurred)
2/28/39
DATE FILED .19
St.,
......... .......... Ward
Rose C. Wilder
(If U. S. War Veteran,
St.,
Ward,
(If nonresident, give city or town and state)
Feb.
20,99
M. D.
1
6 5
THROP.
MAR 1 1 1939 AM
M R-302
1 No 2 FULL NAME 3 SEX Female (or) WIFE of 768 7 AGE Years 12 BIRTHPLACE (City) (State or country) 13 NAME OF FATHER 14 BIRTHPLACE OF FATHER (City) 15 MAIDEN NAME OF MOTHER 16 BIRTHPLACE OF PARENTS MOTHER (City) (State or country) 17 A TRUE COPY. tion should be 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 OCCUPATION important. 50m-11-'36. No. 9080-g N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of informa- (State or country)
PLACE OF DEATH
- SUFFOLK BOSTON
(Citypr THE)zabeth's Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
BOSTON
(City or town making return) 1969
Registered No. (If death occurred in a hospital or institution, give its NAME instead of street and number)
52
specify WAR)
(a)
Residence.
No.
(Usual place of abode)
Length of residence in city or town where death occurred
St.,
Ward,
(If nonresident, give city or town and state)
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Feb.28,1939
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from Feb.5
to
Feb.28
.19 .. 39.
I last saw
.. alive on ..... Feb.28
193.9 .... , death Is said
to have occurred on the date stated abbye 26A. m.
The principal cause of death and related causes of importance in order of onset were as follows:
Terminal .. Broncho ... Pneumonia 4. Das ...
Cardiac ... decompensation
4
Das
Contributory causes of importance not related to principal cause: Multiple sclerosis
5Yrs
Name of operation
Date of.
What test confirmed diagnosis?
Was there an autopsy?
20 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
E B Thomas
M. D.
(Address)
St Elizabeth's Hospt
Date
2-28
19
21 place ( ihrenGeun-Winthrop Masay or Town) DATE OF BURIALch 2-1939 19
22 NAME OF
UNDERTAKER R HI White
ADDRESS
147 Winthrop St Winthrop Lass
Received and filed
Pol- 3-108.9
19
DATE FILED 3/2/39
19
St.,
.......
.Ward
(If degrated ip - married, widowed or divorced woman, give also maiden name.)
Lass
Winthrop
Married
5a If married, widowed, or divorced
HUSBAND of
Murray V Beveridge
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
4
Months Days
If less than 1 day .Hours. Minutes
8 Trade, profession, or particular kind of work done, as spinner, sawyer, bookkeeper, etc ....
Hlouswife
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)
Danvers Lass
Nathan Harris
Sara Doano
Yarmouth N Scotia
Husband
Relation, if any
Informant
(Address)
506-Pleasant St Winthrop Mass-)
ATTEST:
James Q. Burke
(Registrar of city or town where death occurred)
yrs.
mos.
days. How long in U. S., if of foreign birth?
yrs.
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Estelle Bovoridge
(If U. S.
War Veteran,
(Registrar of City or Town where deceased resided)
Daleofonset
RECEIVED
F TOWA
OFFICE
7.1
CLERK
00
7
26
6 5 €
THROP. MA
APR-41939 AM
R-301A
PLACE OF DEATH
Suffolk (County)
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.
53
[ (If death occurred in a hospital or institution, Ward ( give its NAME instead of street and number)
2 FULL NAME
Jessie Eliza (walsh) Davy
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
20 Thornton
(Usual place of abode)
.St.
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred 1 8
years
months
days.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
(write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
If less than 1 day
.. Hours.
.. Minutes
8 Trade, profession, or particular
kind of work done, as spinner,
sawyer, bookkeeper, etc ....
House work
9 Industry or business in which
work was done, as silk mill,
Own home
10 Date deceased last worked at
1 1 Total time (years)
this occupation (month andneb. 1939
year)
spent in this occupation
18
13 NAME OF
FATHER
George W. Walsh
15 MAIDEN NAME
OF MOTHER
Mary Jane Frost
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
17 LeRoy G. Davy
(Address)
20 Thornton St Winthrop Mass
I HEREBY CERTIFY that e satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was Issued: Wmr. Chil dress
(Signature of Agent of Board of Health or other) Health Mittell 3/3/39
(Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATHI
18 DATE OF
DEATH
3
(Month)
(Day)
/
(Year)
19 I HEREBY CERTIFY, That i attended deceased from
2/2/
18.39, 10.
3/1
19.3.4.
I lasi saw b
... allve on
1939, death is said
to have occurred on the date stated above, at 9 53 m. The principal cause of death and related causes of Importance In order of onset were as follows: acute Dilatation & Heart
Dale of Onset IMPORTANT 11/39
Contributory causes of Importance not related to principal.cause:
obstructure faundue
......
Name of operation ......
What test confirmed diagnosis ?.
Was there an autopsy ?...
.....
3/1/39
20 Was disease or Injury in any way related to occupation of deceased?
If so, specify ..
(Signed)
., M. D.
(Address)
Date ..
3/2-1939
21
Winthrop
Winthrop
Relation, if any
Place of Burial, Creination or Removal.
(City or Town)
husband
.)
DATE OF BURIAL
March 4 1939
.19
22 NAME OF
Charles R. Bennison
UNDERTAKER
ADDRESS
Winthrop Mass
Received and filed ....
MAR 3 1939
19
(Registrar)
tion should be carefully supplied.
100m 11-'36. No. 9080.F
14 BIRTHPLACE OF FATHER (City) (State or country) PARENTS Informant ... 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 ...
No.Winthrop Community Hospital St.,
-
Winthrop
(City or Town)
8 SEX
Female
4 COLOR OR RACE
Thite
6 IF STILLBORN, enter that fact here.
7
42
AGE
Years.
7
Months
6
Days
OCCUPATION
12 BIRTHPLACE (City).
(State or country)
Rhode Island
Age should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH
(or) WIFE of
LeRoy Gordon Davy
(Husband's name in full)
(If U. S.
War Veteran
specify WAR)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
39
3/1
Revised United States Standard Certificate of Death
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 OF 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 deceased 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, etc., 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, 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 causc, 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
COMMONWEA OF MASSACHUSET SETTS VEALTH OD
GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- 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 best 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 bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not heen 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 cemetcry, until he has received a permit from the hoard 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 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, by a satisfactory certificate of the attending physician, if any, as re- quired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot he 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 hody 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 huried or the funeral is to be 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 Examinera 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 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
-301A
1
PLACE OF DEATH
Suffolk (County) Winthe (City or Town) No 116 gravers Que.
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.
54
Registered No.
§ (If death occurred in a hospital or institution,
Str
Ward \ give its NAME instead of street and number)
2 FULL NAME
Martin Singer
(If U. S. War Veteran
(If deceased is a married, widowed for divorced woman, give also maiden name.)
specify WAR)
(a) Residence.
No.
116 groves Que
St.
Ward,
(If nonresident, give city or town and state)
Length of residence in city or town where death occurred
years
months
days.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
undowed
5a If married, widowed, or divorced
HUSBAND of
annie Traitskey
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE.
7 76 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.
FurnitureToale
9 Industry or business In which work was done, as silk mill; saw mill, bank, etc. Furniture Store
10 Date deceased last worked at
11 Total time (years)
this occupation (month and
year)
1976
spent in this 400
occupation ......
12 BIRTHPLACE (City)
(State or country)
Russia
13 NAME OF
FATHER
(unknown)
14 BIRTHPLACE OF
FATHER (City)
(State or country) Ruccia
15 MAIDEN NAME
OF MOTHER
(unknown)
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
Relation, if any
Informant .. .
(Address)
1640 Huntingtonone, Costoc.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE thebuffal.of transit permit was issued: Www. D. Cul
(Signature of Aseat of Board of Health of other)
Health Officer 3/3/39 (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
French
3
(Month)
1434. (Year)
(Das)
19 I HEREBY
CERTIF
That Lattended deceased from
Sept
"
19:340 .. , 10
Male4. 2, 1989
I last saw hallve on Dras. 1939 , death is said to have occurred on the date stated above, at 2:A. m. 063, 1939 The principal cause of death and related causes of Importance la order of onset were as follows:
Date of Oneet IMPORTANT ...
Cerebral Hemontage Branches - Premiotina stension 1936
3/2/39 3/2/39
...
1936
Contributory causes of Importance not related to principal cause:
Name of operation.
What test confirmed diagnosis ?..
Was there an autopsy ?. to
20 Was disease or Injury in any way related to occupation of deceased If so, specify ..........
(Signed)
Ler, M. D.
(Address) 26Have Day Date 3/3/1939
21 David Vicar Choulim, W. That
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL ..
march 3, 1939
22 NAME OF
Benjamin 7. Solomon.
FUNERAL DIRECTOR
ADDRESS +20Hawardot, Brookluces,
Received and filed. MAR 3 19.35
19
(Registrar)
100m-9-'37. No. 1859-i.
17 Juliusz. Singer ( son
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 PARENTS
(Usual place of abode)
MASSACHUSET EITS
GOVERNING THE
Statement of occupation .- Precise 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 Of 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 deceased 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, 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 ENGIN- ZER, 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
1915
Chronic interstitial nepbritis
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.
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth. 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 best 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 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 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 nave been delivered to such board, agent or clerk, as the case may bc. 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, by a satisfactory certificate of the attending physician, if any, as re- quired by law, or in lieu thereof a certificate as hereinafter pro- vided. If there is no attending physician, or if, for sufficient rea- sons, his certificate cannot be obtained early enough for the pur- pose, or is insufficient, a physician who is a member of the hoard 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 heen 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.)
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