USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 10
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W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
MEDICAL CERTIFICATE OF DEATH
January
13
1944
Winthrop,
Mass.
(If U. S.
War Veteran,
speolfy WAR)
1
(Address)
ORM R-302
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD 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-302 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
PLACE OF DEATH
(County) .
(City or Town)
No. Mass. General Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
27
¿ give its NAME instead of street and number) r
Gertrude Nina Randolph
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
55 Sunnyside Ave.
St.
Winthrop
Mass.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months
1
days.
In this community
8
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
F
4 COLOR OR RACE
W
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
62
AGE
Years.
Months.
.Days
If less than 1 day Hours Minutes
Usual
9 Occupation :
Retired saleslady
Industry
Railroad news
10 or Business :
Il Social Security No.
none
12 BIRTHPLACE (City)
(State or country)
Boston, Mass.
13 NAME OF
FATHER
Charles B. Randolph
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia, Canada
15 MAIDEN NAME
OF MOTHER
Mary Lyons
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Canada
17 Informant (Address)
W.W. Randolph
Relation, if any
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED Jan 20/44 19
18 DATE OF
DEATH
January
16
1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Jan 15/44
19
to
That I attended deceased from
Jan 16/44
19
....
I last saw her
.alive on
Jan 16/44
19
.. , death Is sald to
have occurred on the date stated above, at.
4.10
P
Immediate cause of death.
Myxedema of Thyroid Gland
Duration 2 yrs
Due to.
Due to.
Other conditions.
Heart Disease, 5 yrs plus Physician
(Include pregnancy within 3 months of death)
Arteriosclerotic
Underline the cause to
Major findings :
Of operations
none
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 deceased ?.
If so, specify
T. A. Devan
(Signed).
(Address)
Mass. Gen. Hosp.
Date
1/17 19 44
....
M. P.
21 PLACE OF BURIAL, Holy Cross - Malden,
CREMATION OR REMOVAL.
Mass.
(Cemeterjan 20/44
(City or Town)
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
J. Murphy
1
ADDRESS
Boston, Mass.
Received and filed.
19
(Registrar of City or Town where deceased resided)
50m (e)-1-41-4667
1
Registered No.
743
(If U. S.
War Veteran,
specify WAR)
(a) Residence. No.
(Usual place of abode)
5
(If death occurred in a hospital or institution,
St.
m.
PARENTS
Of autopsy
none
ORM R-302
Essex
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF
CERTIFICATE OF DEATH
(If death occurred in a hospital or institution, Danvers State Hospital, Hathorne, Mass No.
give its NAME instead of street and number)
2 FULL NAME
Karl 0. Arnesen
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenoe.
No.
220 Woodside Avenue
St.
Winthrop, Mass.
(Usual place of abode)
Length of stay : In hospital or institution
(Before death)
(Specify whether)
years
4
months
2
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
5 SINGLE
(write the word)
male white
MARRIED
WIDOWED
or DIVORCED marr.
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
That I attended deoeased from
S.e.p.t ........ 1.17, 19 ... 4.3., to
Jan ...... 19
19 ... 44.
| last saw h.1m ....... alive on
Jan.
19 ........ , 19.44 death is sald to
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife if alive 68
years
7 IF STILLBORN, enter that fact here.
8 AGE80 Years. Months. Days
If less than 1 day
Hours.
Minutes
Usual
ret. ship's rigger
Industry 10 or Business:
Il Social Security No. Cannot be learned
12 BIRTHPLACE (City)
(State or country)
Norway
13 NAME OF
FATHER
Arne Peterson
14 BIRTHPLACE OF
FATHER (City)
(State or country) Norway
15 MAIDEN NAME
OF MOTHER
Marie Andersen
16 BIRTHPLACE OF
MOTHER (City)
(State or country) Sweden
17 Mary K. McPhillips
Relation, if any
Informam (AddressHathorne, Mass.
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred) Jan. 27
19
44
DATE FILED
(County)
Danvers
1
PLACE OF DEATH
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-302 to the clerk
PARENTS
50m (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
22 NAME OF
FUNERAL DIRECTOR
Frank W .Brown
ADDRESS
Medford .... Mass ...
Received and filed
19
BIO 1944
(Registrar of City or Town where deceased resided)
should be
charged sta-
Of autopsy
What test confirmed diagnosis ?.
clinical
tistically.
20 Was disease or injury in any way related to oooupatlon of deceased ?
If so, specify.
(Signed) Abraham Gardner
M. D.
(Address)
Hathorne ..... Mass.
Date.
1/2519
44
21 PLACE OF BURIAL,
Mt. Hope Cem.,
Boston
DATE OF BURIAL
Jan ..
Physician
Major findings :
Of operations.
Underline the cause to
which death
Date of
Duration
Immediate cause of death
Bronchopneumonia 1 day
Generalized arteriosclerosis
8 ..... yrs.
Due to.
9 Occupation :
18 DATE OF
DEATH
January
19
1944
(If U. S.
War Veteran,
specify WAR)
...
Danvers
(City or town making return)
Registered No.
28
(City or Town)
(If nonresident, give city or town and State)
5a If married, widowed, or divorceHelge Larsen
HUSBAND of
(Give maiden name of wife in full)
have occurred on the date stated above, at 7:15 p . m.
Due to
Other conditions
(Include pregnancy within 3 months of death)
CREMATION OR REMOVAL
(Cemetery)
(City or Town)
1944
ORM R-302
SUFFOLK
(County) I BOSTON
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return) ...
29
-
No.
Mass. General Hospital
(If death occurred in a hospital or institution, St. ( give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
16 Wave Way
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
14 days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
M
4 COLOR OR RACE
W
5 SINGLE
(write the word)
MARRIED
WIDOWEDWidowed
or DIVORCED
(Month)
(Day)
(Year)
5a If married, widowed, or divorced HUSBAND of
Leah Glassburg
(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 68 Years Months. Days
If less than 1 day Hours Minutes Due to.
Usual
9 Occupation :
Defense worker
10 or Business :
Industry Tafner Bearing Co., - Conn.
11 Social Security No ... . 042-12-8069
12 BIRTHPLACE (City)
(State or country)
Russia
13 NAME OF
FATHER
Joseph Silver
14 BIRTHPLACE OF FATHER (City)
(State or country) Russia
15 MAIDEN NAME OF MOTHER Mary -
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
17 Informant. (Address)
B .. Silver
Relation, if any son
A TRUE COPY.
ATTEST:
( Registrar of city or town where death occurred)
Jan 26/44
19
DATE FILED
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
PARENTS
50m (e)-1-41-4667
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
1
PLACE OF DEATH
(City or Town)
Morris Silver
(If U. S.
War Veteran,
specify WAR)
1944
19 | HEREBY CERTIFY,
Jan ... 10/44
19
to .... Jan 24/44
19
I last saw h ... 1.m ..... alive on ..... Jan ... 24 /44
.. , 19
death Is sald to
have occurred on the date stated above, at
9.10.
L.m.
Duration
Immediate cause of death.
Apoplexy .... (dependent
4 days
.upon .... cerebral ... arteriosclerosis)
Due to.
Other conditions
Hypertrophy of prostate
(Include pregnancy within 3 months of death)
yT's
Physician
Major findings :
Of operations
none
which death
Date of.
should be
none
Of autopsy
What test confirmed diagnosis
clinical
tistically.
20 Was disease or injury in any way related to oocupation of deceased?
If so, speolfy T. A. Devan
(Address)
21 PLACE OF BURIALHebrew Cem-Hartford, Conn. CREMATION OR REMOVAL.
DATE OF BURIAL
Jan 25/44
(City or Town)
19
22 NAME OF
FUNERAL DIRECTOR
J. H. Levine
ADDRESS
Boston, .... Mass ..
Received and filed 19
(Registrar of City or Town where deceased resided)
X
Registered No.
944
(a) Residence. No.
(Usual place of abode)
Winthrop,
Mass.
18 DATE OF
DEATH
January
24
That I attended deceased from
Underline the cause to
charged sta-
(Signed)
Mass. Gen. Hosp
Date
1/24"
19
1 R-301
Suffolk ((County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
30
CERTIFICATE OF DEATH
Registered No
f Hf death occurred in a hospital or institution, ¿ give its NAME instead of street and number)
Harmon
(If U. S.
War Veteran.
specify WAR).
(If deceased is a married, widowed or divorced woman, give also maiden name.) 35 Sidestone Road Watching
(a) Residence. No
(Usual place of abode)
Length of stay: In hospital or institution.
(Specify whether)
years
months Xdays.
In this community
3
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED duvoiced
or DIVORCED
5a If married, widowed, or divorced HUSBAND of.
(or) WIFE of
astra.
(Give maiden name of wife in full recente)
Narnon
(Husband's name in full)
6 Age of husband or wife if alive.
years
7 IF STILLBORN, enter that fact here.
8
58
Years.
0
Months
21 Days
9 Occupation :
at- home
11
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Salem
13 NAME OF
FATHER
alfred Kleven
14 BIRTHE
unable to obtain
FATHER (City)
(State or country)
" Phicbrick)
15 MAIDEN NAME
OF MOTHER
Cathunic Philmick
16 BIRTHPLACE OF
MOTHER (City).
(State or country)
1.
unable to alter
17 Ma Rust. Schauen werlaughter.)
Informant ..... (Address) 35 Eurdleston Road Whichis
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued :
Heath Glicer (Signature of Agent of Board of Health or other) 2/4/44
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
/18 DATE OF
DEATH
(Month)
1,
1944
(Day)
(Year)
19 I HEREBY CERTIFY That I attended deceased from
June 10 19.4.3, to Tel. 1 19 × Y
I last saw han alive on
J'cb 1
.
19 .... , death is said to
have occurred on the date stated above, at ........... 2:30 Pm
Duration IMPORTANT
Immediate cause of death. depratatic Pneumonie
Jan 20/44
1942
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? Chemicalficam
...
20 Was disease or injury in any way related to occupation of deceased ?- 15
If so,
(Signed).
(Address) 1908
Date Jahre
1944
21. Wanthersh Cometing
Place of Burial, Cremation or Removay.
(City or Town)
DATE OF BURIAL
Певни“
22 NAME OF
FUNERAL DIRECTORbanho R Benencii
ADDRESS
Received and filed 19
(Registrar)
100m-2-'40-D-729-a
1 3 SEX female AGE Usual PARENTS information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state Industry 10 or Business: CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate.
PLACE OF DEATH
(City or Town)
35 Gardlestone Road Wintheast. No. ada Luna Sulburn ....
2 FULL NAME.
(If nonresident, give city or town and state)
If less than 1 day .Hours Minutes Due to Odupan temaron hyperlaconte.
Underline the cause to which death should be charged sta- tistically.
M. D.
Relation, if any
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 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 hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is in- sufficient, a physician who is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the re- moval of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty- six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the 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).
SPACE FOR ADDITIONAL INFORMATION
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 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 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 .- 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 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 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 occupation whatever write none.
1
1
PLACE OF DEATH
Auffalls (County) Winthrop ity or Jonen Winthrop Community No.
The Commontoralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH Hospital
To be filed toz burial permit with Board of Health or its Agent.
Registered No. 01
{ { If death occurred in a hospital or institution, St. f give its NAME InstedBY SUCHJAM-AIMPORTANT
2 FULL NAME
Joseph P. Fleming
( If deceased Is a married, widowed or divorced woman, give
39 Wordsworth
St.
lso maiden name.)
East Box
200
(Was deceased a
U. S. War Veteren,
ifro specify WAR)
(a) Residence. No.
(Usual place of abode )
Hospital.
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months
days.
in this community
yrs.
mon. days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE!
Male White
5 SINGLE
( write the word)
Single
MARRIED
WIDOWED
or DIVORCED
54 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
> IF STILLBORN. enter That fact here.
8 AGE Years Months
Days
10
Minutes
Usual
9 Occupation :
None
Industry
10 or Business :
Move
11 Social Security No. more
12 BIRTHPLACE (City)
(State of country)
"Withiran Mass
13 NAME OF
FATHER
Joseph P. Fleming
14 BIRTHPLACE OF
FATHER
(City)
( State or country)
mass
15 MAIDEN NAME
OF MOTHER
Maraniet M-Sauger
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston
mass
17 : Joseph P. Fleming
( Address )
I HEREBY CERTIFY that a satisfactory, standard certificate of death was filed with me BEFORE the burjat on transit permit was Issued : m. D. Childrenxx
(Signature of Agent of Board of Health or other)
2/4/44
(Official Designation) ( Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
feb.
(Month )
(Day)
(Year)
19 |HEREBY
feb 2
CERTIFY,
That I attended deosased from
2
1944
19.
44
to ..
.....
I last saw h
Was alive on
fel-2
19 4, youth Is said to
have oocurred on the date stated above, at ..
710 p.m.
Immediate cause of death.
Congenital frears Disease
Que to
Due to
Other conditions
( Include pregnancy within 3 months of death)
Major findings :
Of operations
none
Oate of
Physician Uuderline the cause to which death should be
harged sta.
What
What test confirmed diagnostica / appearance ically.
20 Was disease or injury in any way related to cogupation of deceased ? If so, specify
(Signed)
why Williams
M. D.
( Address)
1429 Sealing Borne 6 2 1944
21
Relation if any
Place of Burial, Creniation or Removal.
(Eitor Town)
DATE OF BURIAL
Feb 14
1944
22 NAME OF
FUNERAL DIRECTOR~
Charles tt. Treamor
ADORESS
Earl Boston
Received and fled.
CE 7 917
19
( Registrar)
-301 A
extracts from the laws on back of certificate. 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-E -2-42-8855
East Boston
Of autopsy
refused
IMPORTANT
malchin -
10 mm
If less than 1 day
Hours
1944
6
(If nonresident, give city or town and State)
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 whoin he has attended during his last illness, at the request of an undertaker or other authorized person or of ans meniber of the family of the deceased, furnish for registration a atsndard certifcate of death, stating to the best of his knowledge and helief 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 ... Geu. 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, shsil, 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, speci- fylng the war, and shall also certify in such certificste hoth the primary sud the secondary or immediate cause of death as nearly as he can state the saine. For neglect to comply with suy provision of this section, such physician or officer shall forfeit ten dollars. For the purposes of thia sec- tion and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall inclinle the China relief ex- pedition and the Philippine insurrection, which shall, for said purposea. he deemed to have taken place hetween February fourteenth, eigliteen 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 hury or otherwise dispose of a human body in a town, or remove therefrom a human hudy which haa not heen buried, until he has received a permit from the board of health, or ita agent appointed to Issue such permita, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person ahall exhume a human body and remove it froin s town, from one cemetery to suother, or from oue grave or tomh other thau the receiving tonth 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 hody is huried. No such permit shall he Issued until there shall have been delivered to such board, agent or clerk, as the case tay he, a satisfactory written atatenient containing the facta required by law to be returned and recorded, which shall be accompanied, in case of an original Internient, by a satisfactory certificate of the attending physician, if any, as required by law. o1 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 physl- cian who is a member of the board of health, or employed by it or hy the selectmen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused hy violence, the medl- cal exsminer shall make such certificate. If such a permit for the removal of a humsu body, not previously interred, froin one town to another within the conunouwealth cannot he 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 desth certificate contains a recital, aa required
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