USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 27
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SPACE FOR ADDITIONAL INFORMATION
M R-302
(a) Residence. No ..
230 Revere
(Usual place of abode)
Length of stay: In hospital or institution ..
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE 5 SINGLE
W/h.
MARRIED
WIDOWED
or DIVORCED
Nale
5a If married, widowed, or divorcedances H.Murray
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
7 IF STILLBORN, enter that fact here.
8
AGE
17 Gears
Months
Usual
9 Occupation:
Master Mariner
Industry
10 or Business:
Il Social Security No.
12 BIRTHPLACE (City)
Boston
(State or country)
Mass.
13 NAME OF
FATHER
John Evans
14 BIRTHPLACE OF
FATHER (City)
Liverpool
15 MAIDEN NAME
OF MOTHER
Ellen Gallagher
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
Ireland
17
Informant
Hosp.Records
50m-10-'39. No. 8427-f
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible
(State or country)
Eng.
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Apr.
10, 1947
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY.
Mar.
19
to
That yattonded deceased from 41
19
I last saw b .......
Are on
4/10
19
Alath is, said
to have occurred on the date stated above, at.
10.40,
m.
Duration
Immediate cause of death .. Artorio-sclerotic and hyperten-
SiVe Deart disease
Due to .
Arteriosclerosis and
hypertension
Due to
Other conditions
Broncho-pneumonia
day
(Include pregnancy within 3 months of
Dirpotes mertitus-5 yrs.
Major findings :
Of operations
Date of ..
Of autopsy
What test confirmed diagnosis?
clinical
20 Was disease or Injury In any way related to occupation of deceased ?
no
If so, specify.
(Signed)
Isadore .... Kaplan
M. D.
(Address)
Soldiers! HomPato
4. 11241
21 PLACE OF BURIAL,
CREMATION OR REMOVALthron Com. , Hinthpor
DATE OF BURIAL
April14,
19
41
22 NAME OF
FUNERAL DIRECTOR
Richard White
ADDRESS
Antinep St.Finthrop,Mass
Received and filed 19
(Registrar of City or Town where deceased resided)
1
PLACE OF DEATH
-
No. Soldiers! Home.Hosp
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Chelsea
(City or town making return)
Registered No.
224 ..
(If death occurred in a hospital or institutiq, give its NAME instead of street and number)
2 FULL NAME
Thomas ... E. Evans:
(If deceased is a married, widowcd or divorced woman, give also maiden name.)
.St.
Hosp.
....
years
months
days1 7
(If nonresident, give city or town and state)
In this community
yrs.
mos.
days.
(write the word)
Wid.
6 Age of husband or wife if alive. Years
If less than 1 day
Hours
.Minutes
Relation, if any
(Address)
Sold. Home Hosp. Chelsea
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
1
DATE FILED
1
Apr. 11,
19
41
St.
(If U. S.
War Veteran,
specify WAR)
Winthrop,Mass.
World
Underline the cause to which death should be charged sta- tistically.
١٠
JUN10IM VI
M R-303
1
3 SEX
11
5c If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Ella Green
7 IF STILLBORN, enter that fact here.
Usucl
Industry
Retired
11 Social Security No ..
(State or country)
14 BIRTHPLACE OF
(State or country)
15 MAIDEN NAME
OF MOTHER
Unknown
16 BIRTHPLACE OF
Ireland
MOTHER (City)
(State or country)
PARENTS
Informant
information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF
10 or Business:
DEATH in plain terms, so that it may be properly classified under the International Classification of Causes
8
ÅGE ...
73 Years
Months
10 Days
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of
of Death. See reverse side for extracts from the laws relative to the return of certificates of death.
FATHER (City)
Ireland
50m-10-'39. No. 8427-h
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buffal of transit permit was issued: Www. D. Children (Signatura o) Agent of Board of Health or other) health officer 5/2/4/
(Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
man -
1-1941
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as followsd) (If an injury was involved, state fully.)
Preening
Gas
Suicidal
20 Accident, suicide, or homicide (specify)
Suicidal
Date of occurrence ..
may-1
1941
Injury occur ?.
Where did
his home
(City or town and State)
Did injury occur in or about home on farm, in industrial place, in
public place ?
(Specify type of place)
Manner of
Injury
Fraud collapsed in line
Nature of
Injury
While at work?
no
Was there an autopsy ?..........
21 Was disease or injory In any way related to occupation of deceased ?.
no
If so, specify.
Way
(Signed)
M. D.
(Address)
Bostan
0601 -1941
22
Place of Burial, Cremation or Removal. Winddiyor Town Whenthey
DATE OF BURIAL
May 3,
41
19
23 NAME OF
FUNERAL DIRECTOR
Richard 26 What
ADDRESS 147 Winchup ST Winthis
Received and filed 19
A TRUE COPY ATTEST: (Registrar)
Registered No § (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME
William John Killian
(If deceasedAs a married, widowed or divorced woman, give also maiden name.)
(2) Residence. No 430 Therese JF.
(Usual place of abode)
Length of stay: In hospital or institution
(Specify whether)
years
months
(If nonresident, give city or town and state)
days. In this community 2 5 yrs.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE| 5 SINGLE
White
MARRIED
WIDOWED
Or DIVORCED
(write the word)
Married
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive.
Years
10
If less than 1 day
Hours.
Minutes
9 Occupation:
Dry Cleansers
12 BIRTHPLACE (City)
Boston Mass.
13 NAME OF
FATHER
Patrick Killion
17 Welfare Record
Relation, if any
(Address)
Town Hall Winthrop
Sullick (County) PLACE OF DEATH Sonttrop (City or Town) No. 430 Revere St.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
(City or town making return)
(If U. S.
War Veteran,
specify WAR)
St.
mos.
days.
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 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 sball 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 dc- livered to such 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 by law, or in lieu thereof a certificate as hercinafter 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 pur- pose, shall 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 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 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 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 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 of 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. as amended.
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has 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, See. 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 man- ner of death .- General 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 whose physician is absent from bome when the certificate of death 1s necdcd.
(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 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 infection related to occupa- tion, the sudden deaths of persons not disabled 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 (zas bacillus) caused by a steam railway ac- cident." "Pistol shot wound of the chest with associated hcmor- rhage, homicidal." "Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of ether administered as a surgical anaesthetic." "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 been 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 (hasal 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
M R-303A
PLACE OF DEATH
(County)
(City or Town) Date to Write & Com No alve M. Brogan
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No 3339
( give its NAME instead of street and number) -
00
2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No 17 Willin, St. Combedste
(Usual place of abode)
Length of stay: In hospital or institution.
years
months
days.
(Specify whether)
(If nonresident, give city or town and state)
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
white
5 SINGLE
MARRIED
WIDOWED
or DIVORCED-
(write the word) Singhe
5a If married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive.
7 IF STILLBORN, enter that fact here.
8
AGE 64 Years
1Months
.. Days
If less than 1 day Hours .Minutes
Usual
at Home
9 Occupation :...
1
11 Social Security No ...
Cambridge
12 BIRTHPLACE (City)
(State or country)
mass
13 NAME OF
FATHER
Nicholas J. Brogan
14 BIRTHPLACE OF
County meath meath
FATHER (City)
(State or country)
Inkland
15 MAIDEN NAME
OF MOTHER
Catherine É qill
16 BIRTHPLACE OF
MOTHER (City) ..
(State or country)
maso
17 James J. Brogan
Relation if any Brother
Informant ....
(Address) 110 Han Choise Pt. Cambridge
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued>
2475
(Signature of Agent of Board of Health or other) 5/11/4
(Official Designation)
(Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
- 7-1941
(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,), paul tible Fractured
Fractured Stine Internal Ner
20 Accident, suicide or homicide (specify)
Date of occurrence.
1941
Where did
Injury occur?
Perrine
(City or Town and State)
Did injury occur in or about home, on farm, in industrial place, in public place?
Manner of
Seca To can Lie
Injury
Nature of
auto There may- 1-1941
Injury.
While at work ?..... ) Was there an autopsy? wer
21 Was disease or injury in any way related to occupation of deceased ?.
If so, specify.
(Signed)
M. D.
(Address)
22 ..
Holy Cross
(malden
Place of Burial, Cremation or Removal.
(City or Town)
19
23 NAME OF
FUNERAL DIRECTOR.
Edward 1. Mulvaney
ADDRESS
40 Common ST. Walpole
Received and filed MAY 2 8 -1941 19
(Registrar) X
(Specify type of place)
1
de LL .19.54.1
DATE OF BURIAL.
May 24
41
25m-2-'40-D-729-b
Boston
.years
1 3 SEX Female (or) WIFE of PARENTS information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF 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 N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of Industry 10 or Business:
(If U. S.
War Veteran.
specify WAR)
7
P.
JUN101941 An
RM R-302
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution.
3 SEX
female
white
5a lf married, widowed, or divorced
HUSBAND of
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
Usual
9 Occupation:
Industry
at home
10 or Business:
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
14 BIRTHPLACE OF
FATHER (City)
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
17
Informant.
Otto E Lewis
(Address)
50m-10-'39. No. 8427-f
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time
after the close of the month in which the death occurred. (Sce Chap. 46, Sec. 12, G. L.)
of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible
(State or country)
NS
4 COLOR OR RACE 5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
divorced
(Give maiden name of wife in full)
(or) WIFE of
Charles ............ Hopkins.
(Husband's name in full)
76
Years
8
AGE ..... 7 ..... Years ... 6.
Months.
Days
If less than 1 day
Hours
Minutes
11 Social Security No ..
Nova Scotia
Otto B Lewis
15 MAIDEN NAME
OF MOTHER
Mary Leonard
"Nova Scotia
Relation, if any bro
A TRUE COPY.
ATTEST:
Francis
Ryan
(Registrar of city or (own where death occurred)
DATE FILED
5/14/41
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
May.
(Month)
11
(Day)
1941
19
5/6/41
BY CERTIFY.
19.
...... , to ..
19
That I Attended deceased from
I last saw her
alive on
5/10/41
to have occurred on the date stated above, at
m.
Immediate cause of death.
myocardial insufficiency
mo s
Due to
hypertensive cardio vascular
disease
mo s
Due to
Other conditions
psychosis with cerebral
PHYSICIAN
(Include pregnancy within 3 attendosclerosis mo's'
Major findings :
Of operations
Date of.
Of autopsy
What test confirmed diagnosis ?.
20 Was disease or Injury In any way related to occupation of deceased ?
If so, specify.
(Signed)
w J Shanahn
M. P.
(Address)
Boston
Date
5/12 47
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Woodlawn
Everett
DATE OF BURIAL ..
May 13 1941
19
22 NAME OF
FUNERAL DIRECTOR
CRBennison
ADDRESS.
Winthrop
Received and filed.
19
(Registrar of City or Town where deceased resided)
1
1
PLACE OF DEATH
(County)
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No .. 115.8.6
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Ella .....
Hopkins
(If deceased is a married, widowed or divorced woman, give also maiden name.)
19Wave Way Ave
St.
Winthrop
(If nonresident, give city or town and state)
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
TTO IS A PERMANENT RECORD
No ...
Boston State Hospital
St. l
(If U. S. War Veteran, specify WAR)
(Year)
19,
death is said
9 A
Duration
Underline the cause to which death should be charged sta- tistically.
(Cemetery) (City or Town)
RM R-301 A
1 100m-2-'40-D-729-a N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of PARENTS
PLACE OF DEATH
Sufflok
(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
§ (If death occurred in a hospital or institution,
St. { give its NAME instead of street and number) -
2 FULL NAME.
Charles Sumner Beetle
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ...
18 James Ave.
St
(If nonresident, give city or town and state)
Length of stay: In hospital or institution ..
Hosptial
years
months
2
days.
In this community
51 yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
Alice Harper+ Beetle
(Give maiden name of wife in full)
.years
- If less than 1 day
8
AGE 64
Years
7
Months
5
Days
Hours
Minutes
Due to Chronic Iacordaba
Due to.
Hypertension
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 ?. 20
If so, specify,
Ofichas Mitral
(Signed).
M. D. (Address) 148wmthop84. V Date buy 12 1941
21 .....
Riverside
.Saugus
Place of Burial, Cremation or Removal. (City or Town)
DATE OF BURIAL
May
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Nunnos man.
Received and filed
2019 4/
agent
may 12/4/
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF man
DEATH
11
1941
0
(Month)
(Day)
(Year)
That I attended deceased from
19 I HEREBY CERTIFY,
21
1941, to may 11
19 41
Plast saw hw alive on may 110 19.41, death is said to have occurred on the date stated above, at 6:30 A. Duration m. IMPORTANT Immediate cause of death .. Coronan Thrantonio
Corona Quease
4 dias 22 mas
....
Major findings: Of operations.
Date of.
Of autopsy
Relation, if any Wife
(Address)18 James Ave. Winthrop
V
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: William D. Children
(Signature of Agent of Board of Health or other)
4I
19
I3
Howard S Prenolos
(Registrar)
-
No. Tinthrop Community Hospital
Winthrop
(City or Town)
(Usual place of abode)
(Specify whether)
3 SEX
4 COLOR OR RACE
Male
White
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of.
(Husband's name in full)
6 Age of husband or wife if alive.
62
7 IF STILLBORN, enter that fact here.
Usual
9 Occupation :
Insurance
Industry
11 Social Security No ...
12 BIRTHPLACE (City)
Tisbury
(State or country)
Mass.
13 NAME OF
FATHER
David S Beetle
14 BIRTHPLACE OF
(State or country)
Mass:
15 MAIDEN NAME
OF MOTHER
Sarah Wasson
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Indiana
17
Informant
Alice Beetle
is very important. See instructions and extracts from the laws on back of certificate.
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
10 or Business :.
Insurance .... Brocker
FATHER (City)
Oak Bluffs
What test confirmed diagnosis ?. Climeal
(If U. S.
War Veteran,
specify WAR)
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, wben last seen alive by the physician or officer and the date of bis 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 tbe clerk of the town where the person died; and no undertaker or other person sball exbume 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 tbe 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 wlio is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shall upon application inake tbe 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 sball 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, tbat 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 health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transinit 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 furnislı 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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