USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1941 > Part 83
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SPACE FOR ADDITIONAL INFORMATION
M R-303A
PLACE OF DEATH
(County)
(City or Town),
233 Winthrop St No ..
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.
249
§ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME ..
alice A Hicks
(If deceased is a married, widowed or divorced woman give also maiden name.)
233 Winthrop St. Hunter be
(a) Residence. No ...
(Usual place of abode)
Length of stay: In hospital or institution.
-
(Specify whether)
years
months
days.
In this community 32 yrs. mos. . days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
OF 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)
years
7 IF STILLBORN. enter that fact here.
AGE
.76 Years
6
Months.
Days
1
If less than 1 day Hours. Minutes
9 Occupation :
none
11 Social Security No ...
12 BIRTHPLACE (City)
(State or country)
Westport
Nova Scotia.
13 NAME OF
FATHER
Charles F. Micks
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Elmira Utley
16 BIRTHPLACE OF
MOTHER (City) ..
(State or country)
Nova Scotia
17 Relation, if any Frederick Nicks Nephew (Address) 107 Lexington Ave., Provendince"
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial er transit permit was issued: Mr. x. Children (Signature of Agent of Board of Health or other) Healthe Office 12/9 /4/
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Dec-
5-
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 follows: (If an injury was involved, state fully.) Ras Porsening Esplay xcation Les Carbon munoz de
20 Accident, suicide or homicide (specify).
Suicidal
Date of occurrence.
1941
Where did Injury occur? (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
Found Read in
Injury
Nature of
Injury.
While at work?
Was there an autopsy ?.
21 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
M. D.
(Address)
De to-6-
.19.4.4.
22 ..
Winthrop
Winthrop
Place of Burial, Cremation or Removal.
Dec . 9,
1941
(City or Town)
DATE OF BURIAL
19
23 NAME OF
FUNERAL DIRECTOR Richard go Chulo
ADDRESS
147 Winthrop St. , Winthrop
Received and filed
19
(Registrar)
-
Dec-Yo-5(2 +BL Brickley)
her Kitchen
V
25m-2-'40-D-729-b
1 3 SEX Temale 8 Usual PARENTS Informant. 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 information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF A. M .- WALL FLAINLI, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of Industry 10 or Business :...
(If U. S.
War Veteran,
specify WAR)
(If nonresident, give city or town and state)
6 Age of husband or wife if alive.
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 tbe deatb of a person wbom be bas attended during bis last illness, at the request of an undertaker or otber 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, bis supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of bis last illness, wben 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 tberefrom a human body which has not been buried, until be has received a permit froin the board of bealtb, 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 buman body and remove it from a town, from one cemetery to another, or from one grave or tomb otber tban the receiv- ing tomb to another in the same cemetery, until be has received a permit from the board of health or its agent aforesaid or from the clerk of tbe town where the body is buried. No such permit sball be issucd until tbcre sball 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. bis 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 deatb is caused by violence, the medical examiner shall make such certificate. If sucb a permit for the removal of a human body, not previously interred, from one town to another witbin 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 congatute a permit for such removal; provided, tbat such body shall be returned to the town from which it was removed witbin thirty-six bours after such removal, unless a permit in the usual form for the re- moval of such body bas been sooner obtained bereunder. If the deatb certificate contains a recital, as required by section ton 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 bas been engaged, sucb recital sball appear upon tbe permit. The board of health, or its agent, upon receipt of sucb statement and certificate, shall fortbwith countersign it and transmit it to tbe clerk of the town for registration. The person to whom the permit is so given and tbe 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 wbich bave been brought into the commonwealth until be has received a permit so to do from the board of bealth or its agent appointed to issue sucb permits, or if there la no sucb board, from the clerk of the town wbere tbe body Is to be buried or tbe funeral is to be held, or from a person appointed to have tbe care of the cemetery or burlal ground In wbicb the interinent is made. . . . Chap. 114, Sec. 46, G. L .. (Tercentenary Edition).
Medical examiners shall make examination upon the vlew 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 forthwitb go to the place where the body lies 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 died his name and residence, if known; otber- wise a description as full as may be, with the cause and manner 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 tbe 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 wbo, 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 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 (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with asso- ciated internal injury sustained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the deatb to have been due to disease, specify: (1) Under cause its known or presumable nature; and (2) under manner, indicate the cir- cumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart diseasc, 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
ORM R-301
1942
SUFFolk. (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making retura)
250
Registered No
...
2 FULL NAME.
Alfred Sparling.
(If deceased is a married, widowed or forced woman, give also maiden name.)
(a) Residence.
No.
Sachen
St.
....
Billerica
St.
(Usual place of abode)
Hospital
ength of stay: In hospital or institution
(Specify whether)
-
years
-
months
49
days.
In this communily
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Male
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
married
5a If married, widowed, or diversedne A. Hearn HUSBAND of
(or) WIFE of.
(Husband's name in full)
6 Age of husband or wife if alive.
6.5
7 IF STILLBORN, enter that fact here.
8 69
AGE ..
Years
6
Months.
Days
6
If less than 1 day
Hours.
Minutes
Usual
9 Occupation :..
Salesman
10 or Business:
II Social Security No. 024-05-7766
12 BIRTHPLACE (City)
FollyS Mountain
(State or country)
13 NAME OF
FATHER
Westley
Harley
14 BIRTHPLACE OF
FATHER (City)
Cannot be obtained
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Mary ann
Mac Lean
16 BIRTHPLACE OF
MOTHER (City)
Baddeck
(State or country)
Nova Scotia
17 Robert Sparling
Relation, if any
(Address) Sachem St. Billerice
Mass.
Informant,
I HEREBY CERTIFY that 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
Rec, 7/41
(Oficial Destination)
(Date of Issue of Permit)
18 DATE OF
(Month)
(Day)
6th, Saturday 1941.
(Year)
19 I HEREBY CERTIFY. That I attended deceased from
October 18,
1941, to December 6,2, 1941.
I last saw h ... im alive on.
Dec. 5th
19 ... 4.1., death is said
to have occurred on the date stated above, at 5 ª A.m.
Duration
years Immediate cause of death .. Hypostatic Pneumonia
Dec. H"
Due to
Cancer of Prostate
6, mo.
Due to
U
Other conditions
......
(Include pregnancy within 3 months of death)
Major findings :
Of operations
none
.Date of.
Of autopsy
none
What test confirmed diagnosis?
Clinical
should be charged sta- tistically.
20 Was disease or lojory In any way related to occupation of deceased ? no
If so, specify ...
M. D.
(Signed)
(Address) Winthrop
Mass. Date Dec. 6 1941.
21
Oak Grove
Medford
Place of Burial, Cremation or Removal.
DATE OF BURIAL
December
(City or Town)
22 NAME OF
austin 4. Pena
PUNERAL DIRECTOR
ADDRESS
Boston Rd. Billerica, Mass
Received and filed. 19
não
A TRUE COPY ATTEST:
(Registrar)
Per tel call to hospital 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 200m-10-'39. No. 8427-d N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of Hesley-per son "Robert"
MEDICAL CERTIFICATE OF DEATH
(write the word)
DEATH
December
(If U. S.
War Veteran.
specify WAR)
7(If nonresident, give city or town and state)
Fa (Give maiden name of wife in full)
Industry
Sands Taylor & Wood
Nova
cotia
PHYSICIAN Underline the cause to which death
PARENTS
1 Winthrop, Mass. (City of Town) (If death occurred in a hospital or institution, No to Lincoln St Sinceras Con kasse give its NAME instead of street and number) V PLACE OF DEATH
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 bas 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, Scc. 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 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 dicd ; 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 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 deatb 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 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- 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 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 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 sudden 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 mode 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 disease causing death, report the usual occupation prior to illness. 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 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
M R-303A
PLACE OF DEATH No.
Sulfuric (County)
Winthrop (City or Town) Writtenel Community
2 FULL NAME.
Wary 2. Doole
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH Hospital St.
To be filed for burial permit with Board of Health or its Agent.
251
Registered No.
§ (If death occurred in a hospital or institution, { give its NAME instead of street and number)
(If debased is a married, widowed or divorced woman, give aiso maiden name.)
10 4 gruversare
Anthrop
St.
(If nonresident, give city or town and state)
In this community
45
yrs.
mos.
-
days.
PERSONAL AND STATISTICAL PARTICULARS
8 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Adowed
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
years
If less than 1 day
Hours ..
Minutes
14 BIRTHPLACE OF
FATHER (City)
Cannot be leonor
15 MAIDEN NAME
Cannot be learned
Cannot be larnes
(Address) 140 Circuit Road Firthnon
I HEREBY CERTIFY that a satisfactory standard certificate of death wag filed with me BEFORE the burial or transit permit was issued: Zom Dahilidiaco / (Signature of Agent of Board of Heaith or other)
dee-9/4/
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Dec-
(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 follows: (If an injury, was involved, state fully.) Braccio incumenca Senility
Fractured Février
20 Accident, suicide or homicide (specify)
accidental
Date of occurrence.
have-16
Where did
Injury occur?
(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 Hellaccidentally in her home
Injury.
Nature of
en Java-16-1941
Injury
While at work ?.
Was there an autopsy ?..
20
21 Was disease or injury in any way related to occupation of deceased ?.
no
If so, specify
Hund Trickles
(Signed)
M. D.
(Address)
Deste-9-1941
22. Foly2000 3500 -line
Place of Burial. Cremation or Removai.
(City or Town)
DATE OF BURIAL
.camber 10
.......
23 NAME OF
FUNERAL DIRECTOR
ADDRESS
intro :suchugetts.
Received and filed
19
(Registrar)
25m-2-'40-D-729-b
17 Informant waste 1011ins x:)
Relation, if any
1
3 SEX
4 COLOR OR RACE
Thato
2om- le
(or) WIFE of.
(Husband's name in full)
6 Age of husband or wife if alive.
7 IF STILLBORN, enter that fact here.
86
AGE
Years ........
Months .............
.. Days
Usual
9 Occupation :...
Industry
Cum Fone
10 or Business :...
11 Social Security No ...
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
ulloy
(State or country)
OF MOTHER
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
AV. M."WALE PLAINLI, 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.
DEATH in plain terms, so that it may be properly classified under the International Classification of Causes
information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF
Eminswick
(a) Residence. N
(Usual piace of abode)
Length of stay: In hospital or institution ......... gn" to 1
(Specify whether)
years
months
days.
(If U. S.
War Veteran,
specify WAR)
7-
1941
-
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, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physiclan 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 reinove 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 cemctery 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 meniber 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 ior 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).
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