USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1943 > Part 65
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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 I'nited States in any war in which it has been engaged, insert in the certificate a recital to that effect, stu.ci- fying the war, and shall also certify in such certificate both the primary aml the secondary or immediate cause of death as nearly as he can state the same. For neglect 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 inelinde the China relief ex. pedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place between February fourteenth. eighteen hundred and ninety-eight and futly fourth, nineteen hundred and two, and the Mexi- can horder 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 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 exhime a human hody 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 haried. 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 he 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. of 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 apidication 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 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 I'nited States in any war in which it has hren engaged. such recital shall appear upon the permit. The board of health, or its agent. upon receipt of such statement and certificate, shall forthwitb counter-ign it and transmit it to the clerk of the town for registration. The person to whom the prrunt is so given and the physician certifying the cause of death shall thereafter furnish for registration any offor neces sary information which can be obtained as to the deceased. or as to the mater 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 houry a Imman body or the ashes thereof which have been brought into the commonwealth until he has re- ceived a perrinit 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 hell, or from a persou appointed to have the care of the cemetery or burial grouml in which the interment is made. ... Chap. 114. Sec. 46. G. L., (Tercentenary 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 liea 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 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 who, though disabled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose physi- cian is ahsent 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 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 .- 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 discase causing death. As related causes, name earlier morbil conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, 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 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 family, cook-hotel, etc. For a person who had no occupatiou whatever write none.
SPACE FOR ADDITIONAL INFORMATION
-302
Essex
(County) Danvers
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danver
(City or town making return)
Registered No.
188
-
No. Danvers Stato Hospital
.
St. { give its NAME instead of street and number)
Johanna C. S. Mackie
(If deceased is a married, widowed or divorced woman, give also maiden name.)
32 Billows
(a) Residenoe. No.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution
(Before death)
(Specify whether)
5 years
3
months 6
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
female
4 COLOR OR RACE|
white
MARRIED
WIDOWED
Or DIVORCEWidowed
5a if married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of James .... Machis
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
82
AGE
Years
Months.
.Days
If less than 1 day
Hours
Minutes
Due to
Usual
9 Occupation :
At home
Industry
10 or Business :
11 Social Security No ...
Hone
12 BIRTHPLACE (City) Dundee,
(State or country)
Scotland
13 NAME OF
FATHER
Robert Stevens
PARENTS
14 BIRTHPLACE OF
FATHER (City)
England
(State or country)
15 MAIDEN NAME
Mary Walker
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Scotland
17
Informant
M.K.McPhillips
(
Relation, if any
(Address)
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
8/11/43
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
July 31, 1943
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
Apr.
.25 19 .... 3.8,
to .....
July 31
19433
I last saw h ..
er alive on.
July 31 19 4 death Is said to
have occurred on the date stated above, at.
8.45₽
m.
Immediate oause of death.
Myocardial failure
3 days
Generalized arteriosclerosis
-0
yrs
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations
Underline the cause to
which death
Date of
should be charged sta-
What test confirmed diagnosis?
clinical
tistically.
20 Was discase or Injury in any way related to oooupation of deceased ?
If so, speolfy.
(Signed)
Leo Maletz
M. D.
(Address)
DSH
Date 6, 1319
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Danville Danville,
DATE OF BURIAL
(Cemetery)
13/3/13
19
(City of Town)
22 NAME OF
FUNERAL DIRECTOR
Richard Piper
ADDRESS
Danville, N.H.
19
Received and filed
SEP 11 1943
(Registrar of City or Town where deceased resided)
QUID (e)-1-41-4667
PLACE OF DEATH
1
(City or Town)
S
(If death occurred in a hospital or institution,
2 FULL NAME
(If U. S.
War Veteran,
specify WAR)
St.
Winthrop
5 SINGLE
(write the word)
DEATH
(Month)
Duration
Due to
Of autopsy
R-302
Essex
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers
(City or town making return)
189
Registered No.
(If death occurred in a hospital or institution,
St.
give its NAME instead of street and number)
-
(If U. S.
War Veteran,
specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenoe. No.
132 Winthrop Shore Drive
st. Winthrop
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
1 0months
2
days.
In this community
yrs.
mos.
dayı.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACE|
white
5 SINGLE
(write the word)
MARRIED
WIDOWEDSingle
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
Years.
Months.
Days
If less than 1 day Hours .. ........ .Minutes
Usual
9 Dccupatlon :
janitor
Industry 10 or Business :
11 Social Security No. Cannot be learned
12 BIRTHPLACE (City)
(State or country)
Vatertown
13 NAME OF
FATHER
James Fagan
PARENTS
14 BIRTHPLACE DF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Mary
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
Relation, if any
17
M. K. McPhillips
Informant
(Address)
SSH
A TRUE COPY.
ATTEST:
(Registrar of clty, or town where death occurred)
8/16/43
19
18 DATE DF
August 8, 1943
DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Oct
6
19
42
That I attended deceased from
Aus.
8
1943
I last saw h
im
alive on
8
19 ...
death Is sald to
have occurred on the date stated above, at
7.05A.
m.
Duration
Immediate cause of death.
Arteriosclerotic heart disease
1 Vr.
Due to.
Due to
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Df operations.
Date of.
Underline the cause to which death should be charged sta- tistically.
What test confirmed diagnosis?
clinical
20 Was disease or injury In any way related to ocoupallon of daceased ?.
If so, specify
Abrahan Gardner
(Address)
DSH
Date
8/23/ 20
D.
21 PLACE OF BURIAL, St . Paul
CREMATION OR REMOVAL
(Cemet@}) 10/43 (City or Town)
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
Daniel F. O'Brien
ADDRESS
Cambridge
Reoelved and filed SEP 11 1943
19
DATE FILED
PLACE OF DEATH
(County ) Danvers
1
(City or Town) Danvers State Hospital No.
2 FULL NAME
Peter Fagan
50m (e).1-41-4667
Arlington
Of autopsy
(Signed)
to
(Registrar of City or Town where deceased resided)
63
R-302
blueu. (See Chap. 46, S. 12, . L.)
reside in another city ur town.sz the ofenad ante
60m (e)-1-41-4667
Butfolk
PLACE OF DEATH
(County)
Hoxton
(City or Town)
No.
P. B. Brigham Hospital
(If death occurred in a hospital or institution,
St.
¿ give its NAME instead of street and number)
2 FULL NAME
Harold Wilbur Rand
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
33 Chester Avenue
St.
Winthrop,
Mass.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
13 days.
In this community
yrs.
mos.
13
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
M
4 COLOR OR RACE|
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
5a If married, widowed, or divorced
Marion Evans
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 48 years
7 IF STILLBORN, enter that fact here.
8
49
2
AGE
Years
Months
24
Days
If less than 1 day .Hours. Minutes
Usual
9 Oocupation :
Postal Clerk
Industry
10 or Business :
U. S. Post Office
11 Social Security No. ..
014-12-7634
12 BIRTHPLACE (City)
(State or country)
Standish, Maine
13 NAME OF
FATHER
Wilbur Rand
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Haine
15 MAIDEN NAME
OF MOTHER
Mary Cressey
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Maine
17
Informant
(Address)
Relation, if any
(wife
A TRUE COPY.
Ryan
ATTEST :
(Registrar of city of town where death occurred)
DATE FILED August 27 19 43
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
August
23
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deceased from
August 11 1943
to
August 23, 1943
I last saw h
im
..... alive on
August 23
19.4.3, death Is sald to
have occurred on the date stated above, at
4.20
P.m
Immediate cause of death Carcinoma of tail of pancreas metastasis to portal lymphnodes &
mos .
Due to.
liver - jaundice - thrombic
in ... branch .... of .... portal .... ve.in
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.
What test confirmed diagnosis ?.
autopsy
no
20 Was disease or Injury in any way related to occupation of deceased?
If so, speolfy
(Signed)
H. W. Benjamin
M. D.
(Address)
P.R.B. Hosp.
Date ... 8-24
... 19 43
21 PLACE OF BURIAL, Woodlawn Crem.
Everett .Mass.
CREMATION OR REMOVAL
(Cemetery)
(City or Town)
DATE OF BURIAL
August 26
19
43
22 NAME OF
FUNERAL DIRECTOR
H. S. Reynolds
ADDRESS
Winthrop Lass.
Received and filed SEF 12 1943
(Registrar of City or Town where deceased resided)
19
1
The Commontucalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
Registered No.
7899
(If U. S.
War Veteran,
specify WAR)
1943
W
Duration
Of autopsy
02
Hampden
(County)
Monson
(City or Town) Monson State Hospital No.
The Commonfocalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Monson
(City or town making return)
101
Registered No. (If death occurred in a hospital or institution,
St.
3 give its NAME instead of street and number)
2 FULL NAME
Martha Staples
(If deceased is a married, widowed or divorced woman, give also maideu name.)
23 Taft Ave.
St.
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution.
(Before death)
(Specify whether)
years
6 months 19 days.
In this community
yrs.
6 mos.
19days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
female
4 COLOR OR RACE
white
5 SINGLE
(write the word)
MARRIED
WIDOWED
or 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)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
1
AGE
Years
11
Months
15
Days
If less than 1 day
Hours ..
Minutes
Usual
none
9 Occupation :
Industry
10 or Business :
none
11 Social Security No ..
none
12 BIRTHPLACE (City)
(State or country)
Laine
13 NAME OF
FATHER
Grant Staples
PARENTS
14 BIRTHPLACE OF
FATHER (City)
Blue Hill
(State or country)
Maine
15 MAIDEN NAME
OF MOTHER
June E. Smith
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
IT.Y.
Watertown
17
Grant Staples
Relatio
father
Informant.
( Address)
A TRUE COPY.
ATTEST :
Carlos y Ballo
(Registrar of city or town where death occurred)
DATE FILED
September
2. 19
43
18 DATE OF Sept.
DEATH
1,
1943
(Month)
(Day)
(Year)
19 Pe'b: 15BY
CERTIFY,
43
Sept. I.
19
19
to
[ last saw her
alive on
Sept.
7
....... , 19.43 death is said to
have occurred on the date stated above, at
12:25 pm.
Duration
Immediate cause of death. Epilepsy
Hydro Cephalus
Due to.
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations
Underline the cause to which death
Date of
should be charged sta-
tistically.
What test confirmed diagnosis?
Clinical
20 Was disease or injury in any way related to oooupation of deocased ?
If so, specify
Florence G. Beaulieu
M. D.
(Address)
21 PLACE OF BURIAL,
Whitefield Cem.
CREMATION OR REMOVAL
(Cemetery)
"Whitefield , Mass.
DATE OF BURIAL
Sept. .... 3,
19 .43
22 NAME OF
J. F. Loftus
FUNERAL DIRECTOR
ADDRESS
Palmer Mass.
Received and filed.
September 2.
arlos A.
Ball
(Registrar of City or Town where deceased resided)
.1943 ... 19
1
PLACE OF DEATH
(If U. S.
War Veteran,
specify WAR)
(a) Residenoe. No.
(Usual place of abode)
Winthrop,
Mass.
That [ attended deceased from
43
.,
Of autopsy
none
(Signed)
Monson State Hosp . 9/1
143
Gardener
1
301 A
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect. PARENTS
100m ( 3 . 1.41 1667
PLACE OF DEATH
Suffolk
(County) Winthrop
(City or Town)
The Commonforalth ot Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
§ (If death occurred in a hospital or institution,
No. Winthrop Community Hospital . St. 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.)
(a) Residence. No.
2.2 .... Moon .... S.t
St.
Boston
(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
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
White
4 COLOR OR RACE
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
18 DATE OF
DEATH
September
2
(Month)
(Day)
1943 (Year)
19 | HEREBY CERTIFY.
Left 2
to
...
1943.
Left 2
1943
I last saw h ............
alive on
, 19
., death Is sald to
have occurred on the date stated above, at.
6:48 p.m.
Immediate cause of death
Duration IMPORTANT
7 IF STILLBORN, enter that fact here.
Stillborn
8
AGE
-
Years
Months
Days
If less than 1 day
Hours
Minutes
Usual
9 Ocoupation :
Industry
10 or Business :
11 Soolal Security No ...
12 BIRTHPLACE (City)
(State or country)
Binthrop
13 NAME OF
FATHER
Joseph Rizzo
14 BIRTHPLACE OF
Boston
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Anna Tello
16 BIRTHPLACE OF
MOTHER (City)
( State or country)
Boston
17 Giulia Rizzo
Greandif Ma the place of Burial, Cremation or Remogtt 3cityown)
Informant
( Address)
Fulton P1 23 Boston
DATE OF BURIAL.
19
I HEREBY CERTIFY that a satisfactory standard certificate of death was
22 NAME OF
FUNERAL DIRECTOR
Ciso Cincotti
ADDRESS
3 .North Sq-Boston
Received and filed
SEP 9 1943
19
('Official Designation ) (Date of Issue of Permit)
20 Was disease or injury in any way related to occupation of deceased ?......
If so, speoify.
Charles Valem
M. D.
( Signed ) ..
(Address)
9 Prince fl Date 9/3/4.3.19
.,
21 ...
St. Michael, Boston
Date of
Of autopsy
What test confirmed diagnosis ?.
IMPORTANT
Major findings :
Of operations
Physician
Underline the cause to which death should be charged sta- tistically.
Due to.
Still form
Due to
et 6 months.
That I attended deceased from
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
BOSTON NOTIFIED 10/9/43
1
Baby Boy Rizzo
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
If so speolfy WAR)
(Usual place of abode)
(Signature of Aceof of Board of Health or other) Health affiche or 9) 3/43
( Registrar)
Other conditions.
(Include pregnancy within 3 months 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 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 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 neglect 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 sixtcen 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 huried, 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 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 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 liereinafter 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, froin 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
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