USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1942 > Part 16
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If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumahle 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 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
RM R-301 A
- - r PLACE OF DEATH
Suffolk
(County)
1
Tinthron
(City or Town)
No.
22BuchenIn
The Commonfuralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burlal permit with Board of Health or its Agent.
42
st (If death occurred In a hospital or Institution, "t give its NAME instead of street and number)
2 FULL NAME Ernest E Wasson
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
22 Buchangan St
(Usual place of abode)
St.
(If nonresident, give city or town and State)
5
Length of stay : In hospital or institution
( Before death)
(Specify whether)
years
months
days.
In this community
yrs. - mos.
-
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
Thite
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Divorced
5a If married, widowed, or digorged and Hazel
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
( ITusband's name in full)
have occurred on the date stated above, at
4:30 P:
.m.
6 Age of husband or wife if alive
years
7 IF STILLBORN, enter that fact here.
8
AGE
67 Years
Months
Day
If less than 1 day Hours. Minutes
Usual
9 Occupation :
R tired
Industry
Foreman Carpenter
10 or Business :
11 Social Security No.
023-10-5774
12 BIRTHPLACE (City)
Yarmouth
( State or country)
Nova Scotia
Other conditions.
nove
(Include pregnancy within 3 months of death)
Major findIngs:
Of operations.
none
IMPORTANT
Physician
Underline the cause to which death should be charged sta- listically.
20 Was disease or injury in any way related to oooupation of deggased ?. ........
If so, specify
Jacobsaltrauso
(Signed)
ex) 562 Otruly J Date 2/26/1942
21
Place of Burial, Cremation or Removal.
DATE OF BURIAL Feb
027 TO42
(City or Town)
22 NAME OF
FUNERAL DIRECTOR
John HOOGmaley.
19
ADDRESS
Athnon
Received and filed
2 º 1942
(Official Designation) (Date of Issue of Permits
18 DATE OF
DEATH
February
26
(Month)
(Day)
(Year)
19.
19 | HEREBY CERTIFY,
Fabry 10
41
February 26
19.
That I attended deceased from
42
I last saw nevez alive on
Fer. 26
. 19 death Is said to
Duration
Immediate cause of death.
Paragais agitaño
Due to.
Cerebral Hemorrhage
1 wK.
1 year
13 NAME OF
FATHER
Cannot be le med
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia
15 MAIDEN NAME
OF MOTHER
Cannot be Learned
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Nova Scotia
Relation, if any
17
Informant? ?? non ......
( Address)
Buckoneen St
0
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit, was Issued : 20mg Childress
(Signature of Avent ONBoard of Igalth or other) Feb. 26/42
19
( Registrar)
100m (d)-1-41-4667
If deceased was a U. S. War Veteran, G. L. Chap. 46, Seotion 10, requires physicians to insert a recital to that effeot. PARENTS
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information
terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
extracts from the laws on back of certificate.
Date of
Of autopsy
none
What test confirmed diagnosis ?.
clinical x
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so speolfy WAR)
1942
Due to.
Arteriosclerosis
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physloian 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 umlertaker 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 re- quired 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.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, speci- fying the war, and shall also certify in such certificate both the primary and the secondary or immediate cause of death as nearly as he can state the same. For negleet to comply with any provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of this sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief ex- pedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexi- can border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
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 healthi, or its agent appointed to issue such perinits, or if there is no such board, fromn 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 cenietery to another, or from one grave or tomb other than the receiving tonib to another in the saine 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 he issued uutil 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 insufficient, a physi- cian who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal 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 carly 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 aud 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 neces- sary 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 liuman hody or the ashea thereof which have been brought into the commonwealth until he has re- ceived 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., (Terccuteuary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. 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 lies and take charge of the same; ... - General Laws, Chap. 38, Sec. 6.
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 hedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only aa those of persons who, though disahled by recognized disease unrelated to auy form of injury, have died without recent medical attendance or whose physi- cian is ahseut from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or in- directly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, but also deatlis 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 .- 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 auy important complication of the principal cause.
Statement of Occupation .- l'recise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be kuown. Make some entry in this seetion 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 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 fainily, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
RM R-302
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) 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
PLACE OF DEATH
SURES BOSTONÍ (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.
1888
(If death occurred in a hospital or institution, 5
St. ( give its NAME instead of street and number)
Barry
(If deceased is a married, widowed or divorced woman, give also maiden name.)
5 Shore Drive
.St.
(If U. S.
War Veteran,
specify WAR)
Winthrop
(a) Residence. No .....
(Usual place of abode)
Length of stay: In hospital or institution ....
(Specify whether)
ycars
months
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
2 FULL NAME
Michael
3 SEX
4 COLOR OR RACE 5 SINGLE
white
male
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive.
7 IF STILLBORN, enter that fact hore.
0
ÅGE
75
Years
11
Months
3 Days
Usual
9 Occupation:
retired
11 Social Security No.
14 BIRTHPLACE OF
FATHER (City)
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
17
Informant
(Address)
wife.
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
(State or country)
Ireland
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
Feb 27 1942
(Month)
(Day)
(Year)
19
I HEREBY CERTIFY.
11/27/41
19.
..... , to ....
That I attended deceased from
2/27/42
19
...
I last saw h ... i.m ... alive on
2/27/42
19.
...... ,
death is said
to have occurred on the date stated above, at ..
10/552
Duration
Immediate cause of death .. septic abscess of cheek
3 wks
1 wk .....
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
PHYSICIAN
Major findings :
Of operations
Underline the cause to which death
Of autopsy
necrosis of liver
....
What test confirmed diagnosis ?. neumonia
should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased ? If so, specify.
(Signed).
HE Root
M. D.
(Address)
Boston
Date2/28/1942
21 PLACE OF BURIAL.
CREMATION OR REMOVALL'airview
Boston
(Cemetery)
(City or Town)
DATE OF BURIAL
March 3 1942
19
22 NAME OF
FUNERAL DIRECTOR
C H Dennis
ADDRESS.
Malden
Received and filed.
19
DATE FILED ......
......
3/3/42
19
(write the word)
married
Emma G Ward
(Give maiden name of wife in full)
Yoars
If less than 1 day
Hours.
.Minutes
pneumonia
Industry
10 or Business:
mail clerk U S
12 BIRTHPLACE (City)
(State or country)
Boston Mass
13 NAME OF
FATHER
Edward Barry
15 MAIDEN NAME
OF MOTHER
Johanna Dundon
Treland®
Relation, if any
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
43
1
No .... Palmer Memorial Hospital
(If nonresident, give city or town and state)
16.12
(Registrar of City or Town where deceased resided)
Date of ..
ORM R-302
PLACE OF DEATH
Suffolk (County)
The Commonthealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
44
(City or town making return)
1
Chelsea
(City or Town)
Soldiers' Home Hospital
(If death occurred in a hospital or institution, St. give its NAME instead of street and number)
World
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maideu name.) 18 Linden
(a) Residenoe. No.
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
...
years
months
days. . O
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
4 COLOR OR RACE|
5 SINGLE
(write the word)
DEATH
MARRIED
WIDOWED
or DIVORCED
Married
(Month)
(Day)
(Year)
19 | HERDERY PORTI FAZ 19
...
to.
19
I last saw h
irative on
Feb.28
have occurred on the date stated above, at
11:35 mA M.
Immediate cause of death.
Carcinoma of the liver
5 mos
Due to ...
Metastasis from
carcinoma of the pancreas
5
mos
Due to
Other conditions.
Obstructive jaundice
(Include pregnancy within 3 months of death)
Physician
Major findings:
Of operations.
.Date of. should be
Carcinoma
of
liver an@charged sta-
Of autpancreas"
What test confirmed diagnosis ? pathological 20 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
Isadoro Kaplan
M. D.
(Address)
Soldiers Home
Date.
... 9./289 .42
21 PLACE OF BUBJAL CREMATION OR REMOVALem. Winthrop l'ass. (Cemetery) (City or Town)
DATE OF BURIAL
Mar. 3, 1942
19
22 NAME OF
Kirby Bros.,
FUNERAL DIRECTOR
ADDRESS
Winthrop, 19.80.
19
DATE FILED
Relation, if any ( .
A TRUE COPY.
ATTEST:
(Registrar of city PE
Mar . 2. 1942 where death occurred)
19
18 DATE OF
Feb.28, 1942
5a If married, widowed, os fluges Courtway
(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
Years
Months.
Days
If less than 1 day .Hours. Minutes
Draw Tender
Usual
9. Ocoupatlon :
Industry
10 or Business :
unknown
11 Social Security No ...
12 BIRTHPLACE (City)
(State or country)
Winthrop, Ma.s.S.
Thomas
13 NAME OF
FATHER
Ireland
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Mary E.Kiley
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
Ireland
(State or eountry)
Hospital Records
50ml (e)-1-41-4667
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD PARENTS
3 SEX M 8 17 Informant (Address) of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, Q. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the cierk 47
Registered No.
134
No.
Thomas F.Maloney
(If U. S.
War Veteran,
specify WAR)
Winthrop, Mass.
Thebate@ed deceased from 2
19.
death Is said to
HUSBAND of
(Give maiden name of wife in full)
50
20
Underline the cause to which death
ically
Received and filed. YAP I: 1942
(Registrar of City or Town where deceased resided)
ORM R-301 A
1
inthron
(City or Town)
Every item of
3 SEX
Female
4 COLOR OR RACE
Thite
7 1F STILLBORN, enter that fact here.
8
7
83
Usual
9 Occupation:
+
home
Industry
10 or Business :.
11 Social Security No ....
(State or country)
14 BIRTHPLACE OF
FATHER (City)
(State or country)
PARENTS
17
100m-2-'40-D-729-a
N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD.
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
Laine
PLACE OF DEATH
suffolk (County)
The Commonwealth of Mansarhusetts 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.
45
( (If death occurred in a hospital or institution, ( give its NAME instead of street and number)
2 FULL NAME
Surah bby ( Jebber) Dean
(If deceased is a married, widowed or divorced woman, give also maiden name.)
20 Sargent
St
(If U. S.
War Veteran,
specify WAR)
(If nonresident, give city or town and state)
In this community 50yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
Anarch
(Month)
(Day) )
1942
(Year)
190) | HEREBY CERTIFY, That I attended deceased from
Jarman
19.4%, to.
.....
March 1, 1942
I last saw her alive on February 281942, death is said to have occurred on the date stated above, at 4:145A. M. Immediate cause of death. Cacheria smo.
Duration
IMPORTANT
Due
Carcinoma 57 liver (metastatic)
Due to .....
Carcinoma & breast
2
·
Other conditions
(Include pregnancy within 3 months of death)
renevacisco arterio-sclerosi
Major findings:
Of operations Removal of right breast
for carcinoma Date of 1928
Of autopsy.
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? no
(Signed).
1 ...
6 Uhran M. D.
(Address) Winthrop, Mais Date 3/1/
19.42
21 ....
iinthron Cemetery inthron Kass
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL.
March 3, 1942
19
22 NAME OF
FUNERAL DIRECTOR ...
Charles R. Bennison
ADDRESS.
i.n.t.h.r.o ...... a.ss.
Received and filed
MA 2
1942
19
(Official Designation) (Date of Issue of Permit)
(write the word)
Tidowed
5a lf married, widowed, or divorced
HUSBAND of.
(Give maiden name of wife in full)
Alvan H. Dean
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive. .years
AGE
Years
10
Days
If less than 1 day
Hours ..
Minutes
12 BIRTHPLACE (City)
Hallowell
13 NAME OF (
FATHER
George Webber
Hallowell, maine
15 MAIDEN NAME
OF MOTHER
Sophia J. McIntosh
16 BIRTHPLACE OF
Medford
MOTHER (City) ..
(State or country)
Massachusetts
Relation, if any
Informant.
Gladys R. Dean
(daughter)
(Address) 20 Sargent St inthron Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Williams, Childress
(Signature of Agent of Board of Health or other)
agent
mar. 2/42
No 20 Sargent
St.
(a) Residence. No.
(Usual place of abode)
Length of stay: In hospital or institution.
(Specify whether)
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
years
months
days.
(Registrar)
6 mo
5
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 hest of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required hy section one, where same was contracted, the duration of his last illness, when last seen alive hy the physician or officer and the date of his death . .. Gen. Laws, Chap. 46, Sec. 9.
No undertaker or other person shall hury or otherwise dispose of a human hody in a town, or remove therefrom a human hody 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 hoard, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another. or from one grave or tomh other than the receiv- ing tomh to another in the same cemetery, until he has received a permit from the hoard of health or its agent aforesaid or from the clerk of the town where the hody is huried. No such permit shall he issued until there shall have been delivered to such hoard, agent or clerk, as the case may he, a satisfactory written statement containing the facts required hy law to he returned and recorded, which shall he accompanied, in case of an original interment, hy 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 he ohtained early enough for the purpose, or is in- sufficient, a physician who is a member of the hoard 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 hody, not previously interred, from one town to another within the commonwealth cannot he obtained early enough for the purpose, the certificate of death made as ahove 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 ohtained hereunder. If the death certificate contains a recital, as required hy 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 hoard 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 ohtained 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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