Town of Winthrop : Record of Deaths 1942, Part 35

Author: Winthrop (Mass.)
Publication date: 1942
Publisher:
Number of Pages: 524


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1942 > Part 35


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81


Registered No.


1.02.


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


2 FULL NAME.


David Lawrence Willims


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


(a) Residence. No.


110 Summit Avenue


St


(If nonresident, give city or town and state)


Length of stay: In hospital or institution


None


(Specify whether)


years


months


days.


In this community3


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


4 COLOR OR RACE


White.


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


Married


Sa If married, widowed, or divorced


HUSBAND of ....


Sara A. Mulvanity.


(Give maiden name of wife in full)


6 Age of husband or wife if alive.


60


7 IF STILLBORN, enter that fact here.


8


AGE


67


Years


Month


If less than 1 day


Hours


Minutes


9 Occupation :


Retired ..


Industry


Physician.


11 Social Security No ..


None ..


12 BIRTHPLACE (City)


(State or country)


Boston Mass,


13 NAME OF


FATHER


Charles Williams.


14 BIRTHPLACE OF FATHER (City) (State or country) Germany.


15 MAIDEN NAME


OF MOTHER


Catherine Hennessey.


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland.


17 Relation, if any


Sara A. Williams.


Wife.


Informant. (Address) 110 Summit Ave.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Mmo. Children (Signature of Agent of Board of Health or other) Health Officer 6/8/47


(Official Designation) (Date of Issue of Permit)


(write the word)


DEATH.


18 DATE OF


June 7,1942


(Month)


(Day)


(Year)


19


I HEREBY CERTIFY.


That I attended deceased from


19


to


;- 19


I last saw h


alive on.


19


death is said to


have occurred on the date stated above, at.


2


A


m.


Immediate cause of death ...


Duration IMPORTANT


Due to.


Due to


Other conditions. (Include pregnancy within 3 months of death)


IMPORTANT


PHYSICIAN


Major findings: Of operations


Date of.


Of autopsy.


What test confirmed diagnosis ?.


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


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


If so, specify


(Signed), reforma


M. D.


21


Place of Burial, Crema Info Proval def ty Brann +2


DATE OF BURIAL


22 NAME OF


FUNERAL DIRECTOR A. P.Cleany (and Son .


ADDRESS 1605 Tremont St. Boston.


Received and filed. 18


BU.N .... S.


1942


(Registrar)


1DM - A - 1-4 2 - 8511


1 3 SEX Male. (or) WIFE of. Usual PARENTS 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 10 or Business:


PLACE OF DEATH


No. 110 Summit Avenue


... .......... .....


St.


(If U. S.


War Veteran


specify WAR)


worlds


(Usual place of abode)


.........


....


(Husband's name in full)


.years


.Days


,


JR-301 S


PLACE OF DEATH


SUFFOLK (County) WINTHROP (City or Town)


No. 42 Summande Que


2 FULL NAME JOHNE.KEOGH


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


42 SUNNYSIDE


70€


St ..........


WINTHROP MASS


(If nonresident, give city or town and state)


months


days.


In this community ) 0 yra.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


(write the word)


1 Fogg g


.years


If Less than I day


Hours


Minutes


II Social Security No ...... Buelow mer


13 NAME OF


FATHER


Jakup Co Keogh


1OM - A- 1-42 - 8511


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Www. D. Children (Signature of Agent of Board of Health'or other)


Health Officer 6/12/42


(Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


48 DATE OF


DEATH ..


10


1942 ...


(Month)


(Day)


(Year)


18 HEREBY CERTIF


19 .. +4. to


That I attended deceased from O


19


8 .. , 19 ... , death is said to


I last saw halive on. have occurred on the date stated above, at 7.308 Immediate cause of death ....


.m.


Duration


IMPORTANT


....


-....


arterioscleras


Due to.


Due to.


Other conditions. (Include pregnancy within 3 months of death)


Major findings: Of operations.


Of autopsy ..


What test confirmed diagnosis ?.....


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


If so, specify .....


(Signed) ..


M. D.


(Address) ...


21 .. Jeaty Piace Mallen .... Place of Burial, Cremation br Removal. (City or Town)


DATE OF BURIAL .........


18 42


22 NAME OF


FUNERAL DIRECTOR Tubes Dice


ADDRESS 260 Quetu ex


Received and filed DEN: 1.3 194


.18


(Registrar)


per ms. Kirby


information suvulu vo calci ully supplicu.


.. I (a) Residence. No. (Usual place of abode) Length of stay: In hospital or institution ... (Specify whether) 3 SEX 4 COLOR OF RACE I hate. Male Sa If married 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. 7 IF STILLBORN, enter that fact here. 8 .. Months. AGE .. 2 ... Years ......... Days Usual 9 Occupation :... Stack Ysuper 10 or Business: 12 BIRTHPLACE (City). (State or country) 14 BIRTHPLACE OF Ireland FATHER (Zity) ...... (State or country) IS MAIDEN NAME OF MOTHER PARENTS 16 BIRTHPLACE OF MOTHER (City) ...... (State or country) teland Informant (Address) is very important. See instructions and extracts from the laws on back of certificato. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION Industry City of Buxton


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.


103


Registered No


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


St.


Relation, if Any


17 Helen unligero (domates)


Margaret Welch


Date of.


IMPORTANT PHYSICIAN


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


....


in Date 6 -08 1842


A. M


5 SINGLE


MARRIED


WIDOWED


Or DIVORCED


years


(If U. S.


War Veteran.


specify WAR)


OM R-302


-


1


PLACE OF DEATH


SUFFOHA BOSTONJ


(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.


~ (If death occurred in a hospital or institution, St.


give its NAME instead of street and number)


2 FULL NAME


Philin J


Bradley


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


100 Washington Ave


St.


Winthron


(If nonresident, give city or town and State)


Length of stay: In hospital or Institution.


(Before death)


(Specify whether)


years


months


days.


In this community


yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Nale


4 COLOR OR RACEJ


white


5 SINGLE


(write the word)


married


MARRIED


WIDOWED


or DIVORCED


5a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife If alive years


7 IF STILLBORN, enter that fact here.


8


AGE


49 Years.


9


Months.


4


Days


If less than 1 day


Hours


Minutes


Usual


9 Oocupation :


Industry


Merchant Marine


10 or Business :


11 Social Security No ...


12 BIRTHPLACE (City)


(State or country)


Boston Mass


13 NAME OF


FATHER


Richard Bradley


PARENTS


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Boston


15 MAIDEN NAME


OF MOTHER


Margaret Graham


16 BIRTHPLACE OF


MOTHER (City)


Boston


(State or country)


17


Informant.


(Address)


Hospital


Relation, if any


A TRUE COPY.


ATTEST :


(Registrar of city of town where death occurred)


DATE FILED


6/15/40


19


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


June 77 7942


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY,


6/4/42


19


That I attended deceased from


to


0/77/42


19


I last saw h .... ][ ..... allve on


6/11/42


19


death Is sald to


have occurred on the date stated above, at.


5 P


m.


Duration


Immediate oause of death


carcinoma of stomach with


extencio:


over


2:00


"Due to inanition


Due to.


Other conditions.


(Include pregnancy within 3 months of death)


Physician


Major findings :


Of operations


Date of


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


Of autopsy


What test confirmed diagnosis ?.


clinical


20 Was disease or injury In any way related to oooupation of deceased ?


If so, speolfy


(Signed)


R P


Sandide


M. D.


(Address)


Boston


Date 6/12/19 40


21 PLACE OF BURIAL,


CREMATION OR REMOVAL ..


Winthron


(Cemetery) 74 794 (City or Town)


DATE OF BURIAL


19


22 NAME OF


FUNERAL DIRECTOR


C R .... Bennison


ADDRESS


inthnon


Received and filed JUL 3


"1542


19


(Registrar of City or Town where deceased resided)


50m (e)-1-41-4667


of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk Copies of returns or oeatna 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 DEPODA


No.


US Marine Hospital


(If U. S.


War Veteran,


(a) Residenoe. No.


(Usual place of abode)


Selma Peterson


54


to liver and transverse colo


Pwks


RM R-301 !|


information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of 200m-10-139. No. 8427-d per mr. O'malley


Suffolk


(County)


Winthrop


(City or Town)


No.


260 Bowdion St


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


(City or town making return)


Registered No.


105


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


2 FULL NAME


Marv A. G. Jones


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


260 Bowdoin


.St.


(If nonresident, give, city or town and state)


months


days.


In this community 4


yrs. - mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


Female


4 COLOR OR RACE


White


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Single


5a If married, widowed, or divorced HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife if alive. .years


7 IF STILLBORN, enter that fact here.


8


60


Years


Months


.Days


If less than I day


Hours.


.. Minutos


Usual


9 Occupation:


Teacher


10 or Business:


Boston Schools


II Social Security No.


None.


12 BIRTHPLACE (City)


Boston


(State or country)


MASS


13 NAME OF


FATHER


James A. Jones


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Florida


15 MAIDEN NAME


OF MOTHER


Ann


Callahan


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


Informant.


Clotilde Jones


Relation, if any SISter


(Address)


260 Bowdoin Str


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Nie. . Childrens- (Signature of Agent of Board of Health or other)


Healthe Officer 6/12/42 (Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


(Month)


11


(Day)


194


(Year)


19| HEREBY CERTIFY. That I attended deceased from


1


1988, to former 11


19.


last saw halive on July 11, 19 h death is said Duration to have occurred on the date stated above, at 9:10Pm. Immediate cause of death ... ante redema lungo acure


2 May ...


Due to


antonio


saluti


Due to


Abutensión


Other conditions


(Include pregnancy within 3 months of death)


PHYSICIAN


Major findings :


Of operations


Date of


Of autopsy


What test confirmed diagnosis ?


20 Was disease or lojury In any way related to occupation al deceased ?


If so, specify.


(Signed) thisalten n Dato 6-11- 1942


(Address).


21


St.


Boston


22 NAME OF


FUNERAL DIRECTOR


Place of Burial, Cremation or Removal. 19 To(City or Town) DATE OF BURIAL ..... 1.1ne John F. OMalen


......... ADDRESS iinthrop


Received and filed. UN 1 6 1942


19


A TRUE COPY ATTEST:


(Registrar)


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


(a) Residence. No ..


(Usual place of abode)


Length of stay: In hospital or institution


years


(Specify whether)


1 PLACE OF DEATH 3 SEX AGE PARENTS 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 Industry


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


M. D.


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS


GOVERNING THE


RETURN OF CERTIFICATES OF DEATH


A physician or registered bospital medical officer shall forthwith, after the death of a person whom he has attended during his last liness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for regis- ration 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 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 body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died ; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiving tomh 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- ory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, hy a satisfactory certificate of the attending physician, if any, as required hy law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for he purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or hy the selectmen for the pur- pose, shall upon application make the certificate required of the at- ending physician. If death is caused by violence, the medical exam- ner shall make such certificate. If such a permit for the removal of 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 deslring 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- ix hours after such removal, unless a permit in the usual form for he removal of such body has been sooner obtained 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 board of calth, or its agent, upon receipt of such statement and certificate, hall forthwith countersign it and transmit it to the clerk of the own 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


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.)


No undertaker or other person shall hury 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 ita 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 huried or the funeral is to be held, or from a person appointed to have the care of the cemetery or hurlal 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 hedsidc care during a last ill- ness from discase unrelated to any form of injury.


(2) Board of Health physicians will certify to such deaths only as those of persons who, though disahled hy recognized disease un- related to any form of injury, have died without recent medical attendance or whose physician is ahsent 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 hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, hut 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 morhid 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 he known. Make some entry in this section for every person aged 10 years or over. If the occupation had heen 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


R-301 A


PLACE OF DEATH


Surf lok


(City or Town) gran Community Hospital No. Anna Maline (Ronnevis) nudson


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 106


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


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


41 Enfield Road


St


(If nonresident, give city or town and state)


Length of stay: In hospital or institution hospital


(Specify whether)


years - months


5


days.


In this community 39


yrs.


mos. --


days.


PERSONAL AND STATISTICAL PARTICULARS


5 SINGLE


(write the word)]


MARRIED


WIDOWED


or DIVORCED


Widow


(Give maiden name of wife in full)


(or) WIFE of


Qle


John Knudson


(Husband's name in full)


.years


7 IF STILLBORN, enter that fact here.


8


83 Years


2


.Months.


15 Days


If less than I day


Hours


......... .Minutos


Usual


Housewife


II Social Security No .... None


NORWAY


13 NAME OF


FATHER


Torbgoin Ronnevig


14 BIRTHPLACE OF


FATHER (City) ........


(State or country)


Norway


15 MAIDEN NAME


OF MOTHER


Unknown


16 BIRTHPLACE OF


MOTHER (City) ....


(State or country)


Norway


Informant ....


Thomas Knudson(


Relation, if any


Son


(Address) 41 Entie la Rd . Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Mm. S. Children ,


(Signature of Agent of Board of Health or other)


Health Oficer 6/15/40


(Official Designation) (Date of Issue of Permit)


MEDICAL CERTIFICATE OF DEATH


18 DATE OF


DEATH


June


13


(Month)


(Day)


(Year)


19 I HEREBY CERTIFY. May -9


That I attended deceased from


19/2


Dime 13, 1942


I last saw her alive on.


Cance 1942 death is said to


have occurred on the date stated above, at.


2:30 Am


Immediate cause of death ..


Cerebral Hemontage


Duration IMPORTANT Jame 6/42


Due to.


arteriosclerosis


Due to.


Lenility


Other conditions.


Diabetes Mellitus


(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 ?.


If so, specify


(Signe


(Address) 562 Hurley ST Date 6/12/19-


M. D.


21.


Inthron bothways


inthron


Place of Burial, Cremation or Removal.


(City or Town)


15


DATE OF BURIAL .......


June


19.412


22 NAME OF


FUNER


ADDRESS


Howard S Finaldo


19


Received and filed. 11: 1 G 1912


(Registrar)


6 hrs


Major findings:


Of operations.


none


Date of


Of autopsy.


none


What test confirmed diagnosis? Clinicalx


lafinalny


3 zeno 3 years


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


(County)


1


Winthrop


2 FULL NAME


(a) Residence. No.


(Usual place of abode)


3 SEX


4 COLOR OR RACE


Thite


Female


5a If married, widowed, or divorced


HUSBAND of


6 Age of husband or wife if alive


AGE


9 Occupation :


Industry


12 BIRTHPLACE (City)


(State or country)


PARENTS


17


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


10 or Business :...


Own Home


(If U. S.


War Veteran.


specify WAR)


1942


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 iliness, 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 dled, 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 exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiv- ing tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body Is buried. No such permit shall be Issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as herelnafter provided. If there Is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or ls in- sufficient, a physiclan 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 recltal 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 reglatration 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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