USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 61
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Underline the cause to which death should be charged sta- tistically.
1
Sufolkx
John J
2 FULL NAME
3 SEX
male
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive.
62
7 IF STILLBORN, enter that fact here.
8
.6.6.Years
AGE
Months.
.Days
Usual
9 Occupation:
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Boston Mass
14 BIRTHPLACE OF
FATHER (City)
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
Ireland
17
Informant.
(Address)
wife
50m-10-'39. No. 8427-f
Copies of retures of deaths which occurred in your city of town in case the deceased resided in another city or town at the time
(State or country)
Ireland
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
(If U. S. War Veteran, specify WAR)
(If nonresident, give city or town and state)
5a If married, widowed, or divorcedouige Gutensso
HUSBAND of
(Give maiden name of wife in full)
If less than 1 day
Hours
19
R-302
3 SEX
fem
5a If married, widowed, or divorced
6 Age of husband or wife if alive.
7 IF STILLBORN, enter that fact here.
8
Months.
4
17Days
41
AGE
Years
Usual
9 Occupation:
clerk
11 Social Security No.
13 NAME OF
FATHER
14 BIRTHPLACE OF
FATHER (City)
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
17
Informant.
(Address)
father
50m-10-'39. No. 8427-f
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
Copies Of secullis of ucatus willci occurred in your city of town su case the deceased resided in another city of towi at tie tisse
(State or country)
Sweden
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
4 COLOR OR RACE 5 SINGLE
MARRIED
white
WIDOWED
or DIVORCED
(write the word)
single
HUSBAND of (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
.years
If less than 1 day
Hours
Minutes
10 or Busth Industown Clerk's office Winthrop
12 BIRTHPLACE (City)
(State or country)
Malden Mass
Carl E Larson
Betty Peterson
Sweden
Relation, if any
A TRUE COPY:
ATTEST:
(Registrar of city or (town where death occurred)
DATE FILED 9/8/41
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Sept 3 1941
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY.
8/27/41
19
That I attended deceased from
to.
9/3/41
19
I last saw h .. e.p ... alive on ......
9/3/41, 19, death is said
to have occurred on the date stated above, at .................. m. Immediate cause of death. broncho .... pneumonia
Duration
dy.s ..
Due to ...
rheumati.c ... heart ... disease
.y.r.s.
Due to
Other conditions
(Include pregnancy within 3 months of death)
PHYSICIAN
Underline the cause to which death
Of autopsy
........
as .... abov.e
What test confirmed diagnosis ?... autopsy.
20 Was disease or lajury In any way related to occupatioo of deceased ?
If so, specify.
H Ben jamin
M. D.
(Signed)
(Address)
Boston
Date ...
9/4/19 42
21 PLACE OF BURIAL,
CREMATION OR REMOVAL.
Winthrop Mass
DATE OF BURIAL
Sept 6 1941
FUNERAL DIRECTOR
R.H .... White
ADDRESS
Winthrop
Received and filed. 19
.14,.4.4
(Registrar of City or Town where deceased resided)
1
PLACE OF DEATH
(County)
Horton (City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
84
Registered No.
7658
(If death occurred in a hospital or institution,
No ..
Peter .... Bent .... Brigham .... Hospital .... St. ( give its NAME instead of street and number)
2 FULL NAME Laura .... C. Langon
(If deceased is a married, widowed or divorced woman, give also maiden name.)
29 Plumber Ave
St.
(If nonresident, give city or town and state)
In this community
yrs.
mos.
days.
years
months
days.
(If U. S.
War Veteran,
specify WAR)
Winthrop
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution ..
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
-
Major findings :
Of operations
Date of.
should be charged sta- tistically.
(Cemetery) (City or Town) 19
22 NAME OF
La
dutfolk
R-302
Suffolk
(County)
Chelsea
(City or Town) Soldiers! Homo Hosp.
The Commonforalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Chelsea
(City or town making return) 185 538~
Registered No.
5 (If death occurred in a hospital or institution, give ita NAME inatead of atreet and number)
2 FULL NAME
Richard .... R. I ......
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
19 .Dix
(Usual place of abode)
Hospital years
monthsL.
days.
4
In this community
yrs.
moa.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE|
Whito
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
Sa If married, widowed, Catharine Cornell
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
43
6 Age of husband or wife if alive years
7 IF STILLBORN. enter that fact here.
66
8
11
If less than 1 day
.. Hours.
Minutes
Usual
Commissioner
9 Oocupation :
Industry
10 or Business:
State Aid & Pensions Dept.
none
11 Social Security No. Fornoy,
12 BIRTHPLACE (City)
(State or country)
Ireland
13 NAME OF
Patrick Flynn
FATHER
14 BIRTHPLACE OF
Ireland
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
Ireland
( State or country
Hospital Records
(
Relation, if any
17 Informant ( Address)
A TRUE COPY. ATTEST : (Registrar of city or town where death occurred)
DATE FILED
Sept. 18,
19.
.41
18 DATE OF
DEATH
(Month)
(Day)
(Year)
19 | HEREBYLCERTIFY 4] Thase attended] deceased from 4
1;m 19 ...
Sept. 16, 41
19
I last saw h
alive on
have occurred on the date stated above, at
2.30 m. Duration
Immediate cause of death
Uromia
days
Arterio-sclerotic kidney
Due to.
disease
Generalized arterio-scler-
Due to.oui's
yrs.
Other conditions.
Bronchopneumonia
(IGedonurivithiof months of Heatbe with
tastau19
Major findings :
Adeno carcinoma
of
Grosseto with metastasis
Date of .......
9/5/41.
Physician Undermme 3. the cause to which death should be charged sta- tistically.
Of autopsy
None
What test confirmed diagnosis ?.
20 Was disease or injury in any way related to occupation of deceased ).
If so, specify
(Signed)
Isadoro Kaplan
M. D.
(Address)
Date
19
21 "PLACE OF BURIAL,
Winthrop Com. Winthrop, Ma?
DATE OF BURIAL
22 NAME OF
Charles B.Watson
FUNERAL DIRECTOR
ADDRESS
11 Majazing St.A
Reoelved and filed
ONY 1 1 1941
.19
(Registrar of City or Town where deceased resided)
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
50m (e)-1-41-4667
1
PLACE OF DEATH
No.
St.
(If U. S.
War Veteran,
Spanish
speolfy WAR)
St.
( If nonresident, give
toda and State)
Length of stay: In hospital or Institution
( Before death)
(Specify whether)
Sept. 16, 1941
Y
death Is sald to
8
AGE
Years.
Months.
Days
PARENTS
FATHER (City)
(State or country)
Llicabeth Roche
CREMATION OR REMOVE
(Cemetery)
Sept. (fig or Town)
9.19
R-302
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
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
50m-10-'39. No. 8427-f
Suffolk
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BOSTON (City or town making return) ? 8167
(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.)
6 Central
.................
St.
Winthrop
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution ..
(Specify whether)
years
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
fem
4 COLOR OR RACE 5 SINGLE
white
MARRIED
WIDOWED
or DIVORCED
(write the word)
single
18 DATE OF
DEATH.
Sept 25 1941
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY.
9/13/41
19
That I attended deceased from
to.
9/25/41
, 19.
I last saw h .......... alive on ..
9/25/41, 19
death is said
to have occurred on the date stated above, at.7. 1.1.P .m.
Duration
6 Age of husband or wife if alive.
.yeara
7 IF STILLBORN, enter that fact here.
8 AGE Years 7 Months. Days
If less than 1 day Hours Minutes
Usual
9 Occupation:
Industry 18 or Business:
11 Social Security No ...
12 BIRTHPLACE (City)
(State or country)
Winthrop Mass
13 NAME OF
FATHER
Arthur H Winter
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Beachmont Mass
15 MAIDEN NAME
OF MOTHER
Hope Thibodeau
18 BIRTHPLACE OF
MOTHER (City)
(State or country)
Relation, if any
17
Informant.
(Address)
mother
A TRUE COPY
ATTESTI
(Registrar of city of town where death occurred)
DATE FILED
9/30/41
19
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop
Winthrop
DATE OF BURIAL
Sept.271941
19
....
22 NAME OF
FUNERAL DIRECTOR
M.Kirby
ADDRESS
Winthrop
Received and bled. 19
(Registrar of City or Town where deceased resided)
SICHAN
Major findings :
Of operations
Underline the cause to
which death
Of autopsy
Date of.
should be charged sta- tistically.
What test confirmed diagnosis ?
20 Was disease or lajury In any way related to occupation af deceased ?
lf so, specify
(Signed)
E.C.Smith
M. D.
(Address)
Boston
Date
9/26/941
...
.. 9/19/41
Due to broncho .pneumonia
7 .septicemia
9/13/41 9/19/41
Due to
pertussis
9/2/41
Other conditions .. serum ... reaction
(Include pregnancy within 3 months of death)
PARENTS
PLACE OF DEATH
(County)
1
Boston
(City or Town)
No.
Haynes Memorial Hospital
Gloria ... J
Winter.
Registered No.
(If U. S.
War Veteran,
specify WAR)
(If nonresident, give city or town and state)
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
Immediate cause of death. pneumococcal ... meningitis.
type ... g.
Caribou Me
(
(Cemetery)
(City or Town)
ة
٠
R-301 AJ Suffolk (County)
1
PLACE OF DEATH
Winthrop (City or Town) No 105 Cottage PK. Rd
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
488
2 FULL NAME
Frederick
Winchester
(If deceased is a married, widowed or divorced woman, give also maiden name.)
105 Cottage PK d. 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
Male
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED Divorced
5a If married, widowed,
HUSBAND of
d. Maria/ Baker
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife il alive
years
7 IF STILLBORN, enter that fact here. 8 63 AGE Years 10 Months. 4 Days
If less than I day
Hours
Minutes
Usual 9 Occupation:
Chauffeur (Retired)
10 or Business:
Industry Transportation Co.
11 Social Security No.
None
12 BIRTHPLACE (City)
(State or country)
Peabody, Mass.
13 NAME OF
FATHER
Perez Winchester
14 BIRTHPLACE OF
FATHER (City)
... .
Peabody,
(State or country) Mass,
15 MAIDEN NAME
OF MOTHER
Martha Lamson
16 BIRTHPLACE OF MOTHER (City) (State or country)
Peabody
Mass.
17 W. Ray Burke
Son-in-law
Informant. (Address) 9 Winthrop Rd, Arlington
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Mulig. Childrens p. (Signature of Agent of Board of Health or other) Healtle ffler 10/3/41
(Official Designation) (Date of Issue of Permit)
18 DATE OF
DEATH
october
2
1941
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY.
17
19.9.1.
19 .. . 1.
I last saw h .. maw.alive on
19.41, death is said
to have occurred on the date stated above, at ........ 4ºSP. m.
Immediate cause of death myocardial insufficiency
74-542010
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings : Of operations
Date of.
Of autopsy
What test confirmed diagnosis ?.
............
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.
Hombreenfield
(Signed)
M. D.
(Address) 7 drewin St Winthrop Dale Oct 3 1941
Relation, if any 21 Pine Grove, Place of Burial, Cremation or Removal DATE OF BURIAL
Lynn, Mass. hy or Town) OCT. 6, 2 1941
22 NAME OF
FUNERAL DIRECTOR
ADDRESS
Medford, Mass.
Received and filed 10,49
19
(Registrar)
X
N
MEDICAL CERTIFICATE OF DEATH
(write the word)
St. 1
(If death occurred in a hospital or institution, give its NAME instead of street and number) -
(If U. S.
War Veteran,
specify WAR)
(a) Residence. No ....
(Usual place of abode)
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.
PARENTS
100m-10-'39. No. 8427-c
That I attended deceased from
Duration
IMPORTANT
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 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 shall cxhume 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 de- 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 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 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., (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 observ- anee 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 dicd without recent medical attendance or whose physician is absent from home when the certificate of death is nceded.
(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 electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupa- tion, the sud:len deaths 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 mnode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid con- ditions, 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 discase causing death, report the usual occupation prior to illness. If the deceased had retired from busi- ness, report the usuai 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 houscwork. 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
R-301 A Suffolk
1
PLACE OF DEATH
(County) Ninthup (City or Town)
The Commonwealth of Manmarynartts 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.
1.89.
Registered No. (If death occurred in a hospital or institution. ¿ give its NAME instead of street and number)
(If U. S. War Veteran, specify WAR).
(a) Residence. No.
75
Halden Hanthan St.
(If nonresident, give city or town and state)
Length of stay: In hospital or institution
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
write the word )
MARRIED
WIDOWED
or DIVORCED
Sa 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
Z IF STILLBORN, enter that fact here.
8 AGE ... .Years- Montha .Days
If less than 1 day Hours .... 5 ..... .Minutes
Usual
9 Occupation :..
none
Industry
10 or Business:
none
11 Social Security No ... seme
12 BIRTHPLACE (City)
Vinthing
(State or country)
malino
13 NAME OF
FATHER
George Meinhardt
14 BIRTHPLACE OF
FATHER (City) ....
(State or country)
Queton Mars
PARENTS
15 MAIDEN NAME
OF MOTHER
Isabella White
16 BIRTHPLACE OF MOTHER (Clty) ... (State or country) Mais
17 Geo Meinhardt(Father)
Informant
(Address)
I HEREBY CERTIFY that a satisfactory standard certificate of death wes filed with me BEFORE the burial or transit permit was issued: war.
Ant of Board of Health or other)
Vialeto Office 10/14/4/ 6430
(Date of Issue of Permit)
18 DATE OF
DEATH
October ## 9-1941
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY
Oc
1941
to
That I attended deceased from 9
19
4/
I last saw h ......... alive on oct 9 19 41, death is said to
have occurred on the date stated above at. 8.27 A .m.
Duration IMPORTANT
oct 9
1941
Other conditions.
(Include pregnancy within 3 months of death)
Major findings: Of operations.
Date of.
Of autopsy
none
What test confirmed diagnosis?
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?
If so, specify
1
0
(Signed) ........ ,
(Address) Làque uz DatOS 9
1941
Relatlon, If any 21. Nordland Cimeting Everett-
Place of Burial. Cremation or Removal, (City or Town)
DATE OF BURIAL
Oct H
14
41
22 NAME OF
Leo M. Norton Dooley Funeral
FUNER
ADDRESS
Main St Malden
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 certificato.
Wanthup Community Hospital No ... Baby Boy Meinhardt
2 FULL NAME
....
(If deceased Is a married. widowed or divorced woman, give also maiden name.)
(Usual place of abode)
hafeminister
years
months
days.
In this community
yrs.
mos.
daye.
MEDICAL CERTIFICATE OF DEATH
Immediate cause of death queation of Inskirated thicone or Rentracional Injury
Due to Lose difficult lator
Due to.
Peteries position of occiput
00 occiput
M. D.
Cast Boston
100m-2-40-D-729-8
St.
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 belicf the name of the dcccased. 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 issuc 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 buricd. No such permit shall be issued until there shali 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 licu 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 deccased, 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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