Town of Winthrop : Record of Deaths 1940, Part 64

Author: Winthrop (Mass.)
Publication date: 1940
Publisher:
Number of Pages: 494


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1940 > Part 64


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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 heen given np or changed on account of the disease causing death, report the usual occupation prior to Illnoss. If the deceased had retired from busi- ness, report the usual 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. For a person engaged in domestic service for wages, however, designate the eceupation hy the appropriate terms, as housekesper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


2-303


A BADMAN of Death. See reverse side for extracts from the laws relative to the return of certificates of death. DEATH in plain terms, so that it may be properly classified under the International Classification of Causes LY WITH IINRADING BLACK INK __ TWIANIA.A


50m-10-'39. No. 8427-hı


I HEREBY CERTIFY that a satisfactory standard certificate of death was filedwith me BEFORE the burial/or Hradsit permit was issued: Mim. S. Childress (Signature of Agony of Board of Health or other) Health Office 11/29/40 (Official Designation) (Date of Issue 6! Permits


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


Mar.2/22/1996


(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.)


20 Accident, suicide, or homicide (specify).


accedero


Date of occurrence ...


11/4/40


.19


Where did


Injury occur ?.


(City or town and State)


Did injury occur in or about home, on farm, in industrial place, in


public place?


1


(Specify type of place)


Manner of


Injury


Frail.


Nature of


Injury


While at work ?


.Was there an autopsy ?


20


21 Was disease or lojory lo aoy way related to occupation of deceased ?.


If so, specify .........


(Signed) scalini


M. D. (Adesix Weeksany Date 1/2/42


22


Forest Dale Cemetery


Malden


Place of Burial, Cremation or Removal.


(City or Town)


DATE OF BURIAL


November 30


1940


19


23 NAME OF


FUNERAL DIRECTOR


Charles R. Bennison


ADDRESS


Winthrop .... Mass


Received and filed 19


A TRUE COPY ATTEST: y correction


w date of death keista per


detending Еврошаю


(If U. S. War Veteran, specify WAR)


(a) Residence. No. (Usual place of abode) Length of stay: In hospital or institution


Cony ...... Home


years


months 20


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Female


4 COLOR OR RACE| 5 SINGLE


White


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


Gustavus EIIis Lyons


(Husband's name in full)


6 Age of husband or wife if alive ..


7 IF STILLBORN, enter that fact here.


8 AGE. 8.7


8


Years 10 Months.


.8 Days


If less than I day


Hours


Minutes


Usual 9 Occupation:


At home


Industry 10 or Business:


11 Social Security No.


12 BIRTHPLACE (City)


New York


(State or country)


New York


13 NAME OF


FATHER


Gideon Moore


PARENTS


14 BIRTHPLACE OF


FATHER (City)


New York


(State of country)


New York


15 MAIDEN NAME


OF MOTHER


Sarah Jane Hill


16 BIRTHPLACE OF


Philadelphia


MOTHER (City)


(State or country)


Pennsylvania


17 Edwin Lyons


Relation, if any


son


Informant.


PLACE OF DEATH


(County)


Winthrop (City or Towp)


Nº 125 Cliff Care. Muitos


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH


(City or town making return)


Registered No. § (If death occurred in a hospital or institution,


St. ¿ give its NAMIE instead of street and number)


2 FULL NAME Mary Emma (Moore) Lyons


(If deceagod is a married, widowed or divorced woman, give also maiden name.)


138 Tafts ... Avenue


.St.


(If nonresident, give city or town and state)


days. In this community 13 yrs.


mos.


days.


1


(Address) 138 Tafts Ave. winthrop Mass)


.Years


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during bis last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for regis- tration a standard certificate of death, stating to the best of his knowledge and belief the name of the deccased, his supposed age, the disease of which be 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 bis death ... Gen. Laws, Chap. 46, Scc. 9.


No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a liuman body which has not been huried, until he has received a permit from the board of bealth, 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 exbume a human body and remove it from a town, from one cemetery to another, or from one grave or tomh 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 dc- livered to sucb board, agent or clerk, as the case may be, a satisfac- tory 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 hy 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 cnough 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 pur- pose, sball upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner 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 commonwealth cannot be obtained early cnough for the purpose, the certificate of death made as above provided and in tbe possession of the undertaker desiring to make such removal shall constitute a permit for such removal ; 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 tbe 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, sucb recital shall appear upon the permit. The board of bealth, 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 fur- nish 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.


No undertaker or other person shall bury a human body or the ashes thereof wbich bave 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 bave the care of the cemetery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L. as amended.


Medical examiners shall make examination upon tbc view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner bas notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lics and take charge of the same; ... - General Laws, Chap. 38, Sec. 6.


... He shall in all cases certify to the town clerk or registrar in the place where the deceased dicd his name and residence, if known ; otherwise a description as full as may be, with the cause and man- ner of dcatb .- Gencral Laws, Chap. 38, Sec 7.


. . The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.


RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observ- ance 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 ill- ness 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 attendance or wbose physician is absent from bome when the certificate of death is necded.


(3) Medical Examinera will investigate and certify to all deaths supposebiy due to injury. These include not only deaths caused directly or indirectly hy traumatism (including resulting septice- mia), and by the action of chemical (drugs or poisons), thermal, or clectrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infeclion relaled to occupa- lion, the sudden deaths of persons not disabied by recognized disease, and those of persons found dead.


STATEMENT OF CAUSE OF DEATH


Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences ; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway ac- cident." "Pistol shot wound of the chest with associated hemor- rhage, homicidal." "Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of etber administered as a surgical anaestbetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."


If disease or injury was related to occupation, specify. If inves- tigation shows the death to have heen due to disease, specify: (1) Under cause, its known or presumahle nature ; and (2) under man- ner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous, of the brain (basal ganglia) (found dead In bed) ." "Heart disease, presumably coronary sclerosis. (Sudden death)."


DESCRIPTION (for unknown person)


NOTICE TO UNDERTAKERS: No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.


THIS CERTIFICATE CONSTITUTES SUCH PERMIT


R-301 A Suffolk (County)


1


Winthrop


(City or Town)


5 Washington ave.


2 FULL NAME.


Edna @ Lane


(If deceased is a married, widowed or divorced woman, give also maiden name.)


5 Washington ave,


St


(If nonresident, give city or town and state)


Length of stay: In hospital or institution ...


(Specify whether)


years


months


days.


In this community /yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


temale


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED.


or DIVORCED


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 Age of husband or wife if alive.


.. years


7 IF STILLBORN, enter that fact here.


AGE ..


Days


If less than 1 day


Hours


Minutes


Usual


9 Occupation :.


Lawyer


Industry


10 or Business:


11 Social Security No.


none


12 BIRTHPLACE (City).


Crostin


(State or country)


maso


13 NAME OF


FATHER


Patrick & Lane


14 BIRTHPLACE OF


FATHER (City)


Baton


(State or country)


maso


15 MAIDEN NAME


OF MOTHER


Catherine a Pomfret


16 BIRTHPLACE OF


MOTHER (City).


Boston


(State or country)


maso


17 Edward & Lane


Informant.


(Address)


165 Growers avey Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filad with me BEFORE the burial or transit permit was issued : Www. D. Chil dress


(Signature of Agent of Board of Health of other) Health Officer 11/29/40


"Official Designation) (Date of Issue of Permit)/


MEDICAL CERTIFICATE OF DEATH


18 DATE OF November


28


1940


(Month)


(Day)


(Year)


19 . I HEREBY CERTIFY, Sept 20


That I attended deceased from


19 .... 0 .. , to.


November 28, 1940


I last saw her alive on.


november 28, 1940, death is said to


have occurred on the date stated above, at 11:55 P.m.


Immediate cause of death.


Duration IMPORTANT


6 mo


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


IMPORTANT PHYSICIAN


Underline the cause to which death should be charged sta- tistically.


20 Was disease or injury in any way related to occupation of deceased? no


If so, specify


a) Arthur C. Olmay, M. D.


(Signed),


Winthrop Dinas Date 11/29/1941


Place of Burial, Cromation or Removal.


DATE OF BURIAL


nov 30


(City or Town)


19 40


22 NAME OF


FUNERAL DIRECTOR


R. C. Kirly


ADDRESS


Boston


Received and filed


19


(Registrar)


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.


LL-AIJ


100m-2-'40-D-729-3


PLACE OF DEATH


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. 216


Registered No.


§ (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)


(If U. S.


War Veteran,


specify WAR)


(a) Residence. No ..


(Usual place of abode)


none


(write the word) DEATH


Due to.


Tumor of Brain


Major findings:


Of operations ..


Quoterable tumor al brain


Of autopsy.


-


Date of Jaune 1940


What test confirmed diagnosis ?.


Relation, if any


(Brother)


21


Winthrop


Winthrop


PARENTS


8


44 Years


Months


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an 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, definded 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 receiv- ing 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 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 in- sufficient, a physician who is a member of the board of health, or em- ployed 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 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 removal shall constitute a permit for such removal; 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 re- moval 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 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).


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 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 observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths 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 deathis of persons not disabled by recognized disease, and those of persons found dead.


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.


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 usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woinan whose only occupation was that of home housework, write housework. 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.


SPACE FOR ADDITIONAL INFORMATION


-301 A Suffolk. (County)


1


PLACE OF DEATH


(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, St. [ give its NAME instead of street and number)


2 FULL NAME


(If deceased is a married, widowed or divorced woman, give also maiden name.)


Sagamore arz


St


(If nonresident, give city or town and state)


months


/ days.


In this community 35 yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


temale


4 COLOR OR RACE


white


S SINGLE


(write the word)


Widowed


MARRIED


WIDOWED


5a If married, widowed, or divorced HUSBAND of ............ ) ...


(or) WIFE of.


(Give maiden name of wife in funl)


Guerck


(Husband's name in full)


6 Age of husband or wife if alive ..


.years


7 IF STILLBORN, enter that fact here.


8


AGE ....


67%


Months.


Days!


Ifless than I day


.Hours


Minutes


Usual


9 Occupation:


Housewife


Industry


10 or Business :.


Own Home


11 Social Security No ....


12 BIRTHPLACE (City)


(State or country)


Quincy


13 NAME OF


FATHER


Peter Harris


PARENTS


15 MAIDEN NAME


OF MOTHER


Elizabeth Fortes


16 BIRTHPLACE OF


MOTHER (City) ....


(State or country)


Scotland


17 Leo. Cusick


Informant


(Address) 3JEland St. Winters Leve


I HEREBY CERTIFY chat a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:


William D. Childress (Signature of Agent of Board of Health or other)


agent


Nov. 30/40


(Official Designation) (Date of Issueof Permit)


18 DATE OF


DEATH


november


29


1940


(Month)


(Day)


(Year)


19


I HEREBY CERTIFY,


, 1940 I last saw hen alive on november ub 1940, death is said to have occurred on the date stated above, at. 8 m.


Duration IMPORTANT


20 minutes


2 years


Due to.


Other conditions.


Hypertensive Heart Dire


(Include pregnancy wahln 3 months of death)


Major findings: Of operations


Date of


Of autopsy.


What test confirmed diagnosis? Sketewardian


6 maniche ..... IMPORTAN?


PHYSICIAN Underline the cause to which death should be charged sta- tistically.


20 Was disease or injury in any way related to occupation of deceased ?.................


If so, specify .....


(Signed)


583 Bracelet, Basta


Date.


11-30


1990


M. D.


(Address) ...


Place of Burial/Cremation or Removal.


DATE OF BURIAL


Dec 2


1940


22 NAME OF


FUNERAL DIRECTOR ..


John t. OMalley


ADDRESS


Winthrop


Received and filed. 19


(Registrar)


100m-2-'40-D-729-a


-- information should be carefully supplied. AGE should be stated LAACILI. PHYSICIANS should state is very important. See instructions and extracts from the laws on back of certificato.


Winthrop Community Hospital No


Mary (Harals) Cusick


(If U. S.


War Veteran.


specify WAR)


(a) Residence. No.la.


(Usual place of abode)


Length of stay: In hospital or institution.


(Specify whether)


years


MEDICAL CERTIFICATE OF DEATH


That I attended deceased from Gentile 30, 1940, to.


Immediate cause of death. Cerebral Hacuando


Due to.


Essential Hyperten


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Freland.


Relation, if any


(Son,


.. )


21


Droitline (City or Town)


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forthwitb. 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, liis supposed age, the disease of which he died, defined as required by section one, where same was contracted, tbe 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 receiv- ing 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 wbere 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 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 in- sufficient, a physician who is a member of the board of health. or em- ployed 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 2. permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, tbe 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 removal; 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 tbe re- moval 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 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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