USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1939 > Part 93
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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. CHIAP. 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 hoard of health or its agent appointed to issue such peintits, 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 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 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.
-301A
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No.
24 Beacon
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.
231
Registered No. § (If death occurred in a hospital or institution, Ward ( give its NAME instead of street and number) St.,.
2 FULL NAME
Thomas Mead Evans
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
24 Beacon
St.,
Ward,
(If nonresident, give city or town and state)
Lenoth of residence in city or town where death occurred
16
years
months
days.
How long in U.S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
5a If married, widowed, of diyorced
Mabel B. Lawson
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
AGE
. Years
9
Months
25
.. Days
If less than 1 day
.. Hours.
.....
.. Minutes
8 Trade. profession, or particular
kind of work done, as spinner.
sawyer, bookkeeper, etc ..
Foreman
9 Industry or business In which
work was done, as silk mill,
Shoe factory
10 Date deceased last worked at
this occupation (month andy 1939
11 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City)
Dorchester
(State or country)
Massachusetts
13 NAME OF
FATHER
Hugh Evans
(State or country)
Wales . S
15 MAIDEN NAME
OF MOTHER
Susan Wilder
Hingham
(State or country)
Massachusetts
17 Mabel B. Evans
Relation, if any
wife
Informant
(Address)
24 Beacon St Winthrop Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the bunal or transit permit was issued: MS. Childress X (Signature of Agent of Board of Health of order) Health Officer
17/23/39
(Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
november
(Year)
21
(Day)
1939
(Month)
19 I HEREBY CERTIFY, That I attended deceased from
May 21
1939 to nov.
21, 1939
I last saw h. com alive on.
nov 20
19.3.2, death is said
to have occurred on the date stated above, at 11.10 Am.
The principal cause of death and relaled causes of importance la order of onset were as follows:
Date of Onset
IMPORTANT
Cancer of liver
Zab. 1939
0
Contributory causes of Importance not related to principal cause:
Name of operation ...
none
no
20 Was disease or Injury in any way related to occupation of deceased?
If so, specify gudie w. Bushstore
(Signed).
(Add
M D
21
Riverside Cemetery
Saugus
Place of Burial, Cremation or Removal.
November
24 1939
Town)
DATE OF BURIAL
19
22 NAME OF
Charles R. Bennison
..........
FUNERAL DIRECTOR
ADDRESS
Winthrop Mass
Received and filed ....
DEC 0
1939 0
19
(Registrar)
100m-9-'37 No. 1859.i.
1 3 SEX Male 7 58 OCCUPATION 14 BIRTHPLACE OF FATHER (City) PARENTS 16 BIRTHPLACE OF MOTHER (City) 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.
(If U. S. War Veteran
War
specify WAR)
(Usual place of abode)
20
year)
What test confirmed diagnosis? Clinical
.. Date of
Was there an autopsy?
no
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
...
Chronic interstitial nepbritis
1921
....
Carebral 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, atter 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 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 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 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 I'nited 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 deccased, 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 he buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or hurial 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.
Arteriosclerosis
1915
I R-302
OCCUPATION 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 PARENTS important.
50m-11-'36. No. 9080-g
PLACE OF DEATH
Middlesex
(County)
1
Cambridge
(City or Town)
No. Holy ... Ghost ... Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
Cambridge (City or town making return)
Registered No ..
149%35
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Ethel ... Stokes ... Wallace
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(If U. S.
Wir Veteran,
specify WAR)
(a)
Residence. No ....
.45Grover Ave ..
.. St., ............... Ward,
Winthrop
(If nonresident, give city or town and state)
(Usual place of abode)
Length of residence in city or town where death occurred
yTs.
mos.
days. How long in U. S., if of foreign birth?
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
F
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
(or) WIFE of
Herbert F. Wallace
(Husband's name in full)
6 IF STILLBORN, enter that fact here.
7
AGE
70
Years
1
Months
.29. Days
If less than 1 day
Hours
Minutes
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,
None
saw mill, baak, etc.
10 Date deceased last worked at
this occupation (month and
year)
11 Total time (years)
spent in this
occupation.
12 BIRTHPLACE (City)
Germantown,
(State or country)
Penn.
13 NAME OF
FATHER
Charles Harvey Stokes
14 BIRTHPLACE OF
FATHER (City)
Germantown
(State or country)
Pena
16 MAIDEN NAME
OF MOTHER
Bettine Davis
16 BIRTHPLACE OF
MOTHER (City)
Wilmington,
(State or country)
Delaware
17
Informant
Herbert F. Wallace
Relation, if any
husband
(Address)
45 Grover Ave. Winthrop
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
Nov. 24, 1939
.19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Nov. 22, 1939
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
Nov. 1
19.39
Nov. 22
19 ... 39
I last saw h.e.r ...... alive on.
Nov ...... 19
19 ... 3.9., death Is said
to have occurred on the date stated above, at 4.30 m. M.
The principal cause of death and related causes of Importance in order of
onset were as follows:
Dateofonset
Chronic myocarditis
.2 .. yxs.
Contribulory causes of importance not related to principal cause:
Diabetes mellitus
1937
Name of operation
None
Date of
What test confirmed diagnosis? .
None
Was there an autopsy ?... No ..
20 Was disease or injury in any way related to occupation of deceased?
N.O ....
If so, specify
(Signed)
John A. Fraser
, M. D.
(Address)
3.96 Medford ... St ... , Som Date. . 1.1/2219 .3.9.
21
Wildwood - Winchester
Place of Burial, Cremation or Removaf.
(City or Town)
DATE OF BURIAL
Nov. 24
19.39
22 NAME OF
UNDERTAKER
Kelley & Hawes
ADDRESS
1 Elmwood Ave., Winchester
Received and file ? see Smethod
.. 19.
(Registrar of City or Town where deceased resided)
St.,
.....
Ward
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
to.
90
5
6
ROP
DEC-91333 AM
R-301 A
75m-5-'32. No. 5469
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial er transit permit was issued: Www. D. Culdels (Signature of Agent of Board of Health or othes)
Health officer 11/25/39 " (Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
nor
24 1939
(Month)
(Day)
(Year)
19
I HEREBY CERTIFY, That I attended deceased from
nr 24
193.7 ... , to
19
I last saw h ..
.....
... alive on
. 19
death is said
? dead in uteur 4 - 7 days -
to have occurred on the date stated above, at .. m. The principal cause of death and related causes of importance in order of onset were as follows: bale of Onsel IMPORTANT Stieller
macerated Letus Prematine seperation of placenta-
Contributory causes of importance not related to principal cause:
mitlerin autoaccident
62+14-1939-
Name of operation
What test confirmed diagnosis?
Date of. Was there an autopsy? yes-
20 Was disease or injury in any way related to occupation of deceased?
if so, specify.
ecity Frank 7 Sandler
(Signed)
M. D.
(Address)
Date 11/24
1939
21 PLACE OF BURIAL
CREMATION OR REMOVAL
(Cemetery)
DATE OF BURIAL
Har. 24
1939
22 NAME OF
hung+ Merry & Vincent Hurry
ADDRESS
2.54
Beach st Revere
Received and filed ........
DECO 1939/
19
(Registrar)
1
2 FULL NAME
(Usual place of abode)
Length of residence in city or town where death occurred
8 SEX
4 COLOR OR RACE
what
female
MARRIED
WIDOWED
or DIVORCED
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.
stillborn
7
Days
AGE
Years
Months
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 ..
10 Date deceased last worked at
this occupation (month and
year)
1
13 NAME OF
FATHER
14 BIRTHPLACE OF
FATHER (City)
Boston
(State or country)
PARENTS
OCCUPATION.
16 BIRTHPLACE OF
MOTHER (City)
Boston
(State or country)
17
Informant
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.
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
12 BIRTHPLACE (City)
(State or country)
Malay
carrer
.2/29/40
PLACE OF DEATH No ... Comment
and state House 3/12/40 .. 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.
236
Registered No. (If death occurred in a hospital or institution,
Ward give its NAME instead of street and number)
(If U. S. War Veteran,
specify WAR)
(If deceased is a fharried, widowed or divorced woman, give also maiden name.)
Ward,
(If nonresident, give city or town and state)
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
If less than 1 day Hours Minutes
1 1 Total time (years) spent in this occupation ..
Henry J. Fisher ..
FISHER
15 MAIDEN NAME
OF MOTHER
alise Harrington
Henry 9. 4-FISHER (Address) 791 Writing Con Rever
jer- falte
Suffach
(County)
Multi
(City or Topn)
St.,
Bah que yes FISHER
yrs.
mos.
Revere Hatefeed
12/12/34
(a)
Residence.
No ..
797 Wwwtrok Que. Revest.,
days. How long in U. S., if of foreign birth? yrs.
(City or town)
Revised United States Standara Certificate of veain
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 iliness. 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 nonc.
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- eular 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
1915
Chronic interstitial nephritis
1021
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 onsct, 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.
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 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 fro:a 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, trom 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 deccased 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., as amended by Chap. 48, Acts of 1927 and Chap. 414, Acts of 1931:
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