USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1944 > Part 18
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(b) Date thereof
anuary 8,194(a) Accident, suicide, or homicide (specify)
17. (a)
Burial
(c) Place; burial or cremation
1 (c) Where did injury occur?
(City or town)
(County) (State)
(+) Did injury occur in or about home, on farm, in industrial place, in public place?
(Specify type of place)
While at work? (e) Means of injury
123. Signature
Francis J. C. Dube
(M. D. or other}I. D.
(Dato received local registrar) (Registrar's signature)
Address
Center Ossipee, N.H. Date signed 1/6/44
8-6917
U. S. GOVERNMENT PRINTING OFFICE
16-13493 MAR 25 1944
Underline the cause to which death should be charged sta- tistically.
22. If death was due to external causes, fill in the following:
(Burial, cremation. or removal) Lindenwood , Res MoReading, gh ) Date of occurrence
18. (a) Signature of funeral director __ JohnA.Lord
(b) Address West Ossipno,N.H.
19. (a) Jan. 8, 1944 (b) John A. Hill
Major findings: Of operations
MOTHER FATHER
5. Color or
White
6. (a)Single, widowed, married
divorced
widowed
21. I hereby certify that I attended the deceased from
ly_20
19 43 to
January
6
1944.
4. Sex
that I last saw h ___ eralive on
January 5
1944.
Due to
75
hr.
min
(City. town. or county) (State or foreign country)
(Include pregnancy within 3 months of death)
20. Date of death: Month January ___ day
(c) City or town
Winthrop
(If not in hospital or institution, write street number or location)
RECEIVED
0
TOWA
11 1.2
5
3
*
W
5
6
SS
THE
MAR251944 AM
=
RM R-302
2 FULL NAME
3 SEX
M
(or) WIFE of
-
Usual
9 Occupation :
Industry
10 or Business :
PARENTS
17
Informant
(Address)
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
Il Social Security No .........
4 COLOR OR RACE
W
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)
(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
12 BIRTHPLACE (City)
(State or country)
Winthrop, Mass.
13 NAME OF
FATHER
Robert Henderson, Jr.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Gladys May Lindgren
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Hingham, Mass.
Relation, if any ( .... Mother
A TRUE COPY.
Fans
ATTEST :
(Registrar of city or town where death occurred)"
DATE FILED
Feb 14/44
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
February
9
1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
Feb 8/44
19
That I,attended deceased from
Feb 9/44
19
I last saw h
im ... alive on
Feb 9/44
19
death is said to
have occurred on the date stated above, at.
1
m.
Duration
Immediate cause of death ... Respiratory and
cardiac failure
Due to
toxemia
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Physician
Major findings : 1
Unreduceable
Underline the cause to
intussusception
Date of
2/8/44
which death
should be
Of autopsy
Pulmonary edema
charged sta-
tistically.
What test confirmed diagnosis ?.
20 Was disease or injury in any way related to ocoupation of deceased? If so, specify.
no
(Signed)
C ....... J ...... Bennett
M. D.
(Address)
Boston, .... Ma.s.s ..
Date .. 2 /9
19.44
21 PLACE OF BURIAL, Winthrop Com-Winthrop, Mass
CREMATION OR REMOVAL
(Cemetery)
Feb 12/44
r Town)
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
C ...... R ...... Bennison
ADDRESS
Winthrop Mass.
Received and filed MAR-10-1944 19
(Registrar of City or Town where deceased resided)
50m (e)-1-41-4667
PLACE OF DEATH
(County)
BOSTON
(City or Town)
No. The Children's Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF
CERTIFICATE OF DEATH
(City or town making return)
50
Registered No.
1484
5
(If death occurred in a hospital or institution,
St.
{ give its NAME instead of street and number)
John Joseph Henderson
(If deccased is a married, widowed or divorced woman, give also maiden name.)
62 Upland Road
Winthrop, Mass.
(If nonresident, give city or town and State)
Length of stay : In hospital or Institution.
(Before death)
(Specify whether)
years
months
9 hrs
days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
1
(If U. S.
War Veteran,
specify WAR)
(a) Residence. No.
(Usual place of abode)
3
26
M R-305
Essex
(County) Danvers
(City or Town) Danvers State Hospital No.
The Commontucalth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
Danvers
(City or town making return)
Registered No.
51
(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.)
(If U. S.
War Veteran,
speolfy WAR)
(a) Residence. No.
15 Elliott
(Usual place of abode)
2
years
1
months
4 days.
In this community
yrs.
mos.
days.
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Feb. 9. 1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have investigated the deeth of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) suicide - Phenobarbital poisoning
20 Accident, sulcide, or homiolde (specify)
Date of occurrence.
19
Where did Injury occur?
(City or town and State)
Dld Injury occur In or about the home, on farm, In Industrial place, or In publio piace? (Specify type of place)
Manner of Injury
Nature of
Injury
While at work ?
Was there an autopsy?
yes
21 Was disease or Injury In any way related to occupation of deceased ?. no
If so, speolfy.
(Signed)
J. w. P. Murphy
M. D.
(Address)
Peabody
Date
2 9 1944
22 winthrop Winthrop
Place of Burial, Cremation or Removal.
Feb.
.12
1944
DATE OF BURIAL
tirby Drothers
23 NAME OF
FUNERAL DIRECTOR
ADDRESS
Winthrop
Reoelved and filed. 19
(Registrar of City or Town where deceased resIded)
3 SEX
male
HUSBAND of
(or) WIFE of
8
29,
AGE
Industry
10 or Business :
13 NAME OF
FATHER
PARENTS
Copies of returns of deaths recorded during the previous month which occurred In your city of town in case the decesotu
(State or country)
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-305 to the clerk
of the city or town in which the deceased resided as soon as possible after the close of the month in which the death
occurred. (See Chap. 46, Sec. 12, G. L.)
4 COLOR OR RACE
white
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
single
5a If married, widowed, or divorced
(Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife If allve years
7 IF STILLBORN. enter that fact here.
Years
Months.
.Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
unemp.
laborer
11 Social Security No. Cannot be learned
12 BIRTHPLACE (City)
Medford
Herold R. Winter
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Medford
15 MAIDEN NAME
OF MOTHER
alice F. Groh
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Webster
17 M. K.McPhillips
Relation, if any
Informant.
(Address)
DSA
A TRUE COPY,
ATTEST :
(Registrar, of city or town where death occurred)
DATE FILED
3/25/44
19
St.
Winthrop
(If nonresident, give city or town and State)
PERSONAL AND STATISTICAL PARTICULARS
1
PLACE OF DEATH
Owen K. winter
25m (h)-1-41-4667
(City or Town)
RM R-302
SOMFOLK
(County)
(City or Town)
Mass. General Hospital
The Commonturalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
52
Registered No. (If death occurred in a hospital or institution, ( give its NAME instead of street and number)
2 FULL NAME
Rose Smith
(If deceased is a married, widowed or divorced woman, give also maiden name.)
14 .... Irving.
Preciso
St.
Winthrop Mass.
(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
yTs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Feb
11
1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Feb 5/44
19
to .. Feb .... 11/4.4
19
I last saw h.
er alive on.
Feb 11/44
19.
.. , death Is sald to
have occurred on the date stated above, at.
9.10
P. m.
Duration
1 yr
Immediate cause of death.
Carcinoma
of cecum with gas Bacillus infection 24 hrs
Due to.
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings : Exploratory laporotomy
Of operations!
Underline the cause to
terminal ileostomy
2/8/44
gas Bacillus
should be
Of autopsy
Ca of ceoun
infection
charged sta-
What test confirmed diagnosis ?
autopsy
tistically.
20 Was disease or injury in any way related to ocoupation of deceased?
(Signed)
If so, speolfy
G. F. Houser
M. D.
(Address)
Boston, Mass.
Date.2/.12 ..
.19.4.4
21 PLACE OF BURIAL, Winthrop Com-Winthrop, Mass.
CREMATION OR REMOVAL
(Cemetery)
Feb 14/4Gity or Town)
DATE OF BURIAL
19
22 NAME OF
R. White
FUNERAL DIRECTOR
ADDRESS
Winthrop Mass.
Reoelved and filed
MAR 10 1944
19
(Registrar of City or Town where deceased resided)
50m (e)-1-41-4667
(a) Residenoe. No.
(Usual place of abode)
3 SEX
F
4 COLOR OR RACE|
W
5a If married, widowed, or divorced
HUSBAND of
7 IF STILLBORN, enter that fact here.
8
79
AGE
Years
7
Months.
7
Days
Usual
9 Occupation :
At .... home
Industry
10 or Business :
Il Social Security No __
13 NAME OF
FATHER
John Kohl
14 BIRTHPLACE OF
FATHER (City)
15 MAIDEN NAME
OF MOTHER
PARENTS
17
Mrs. J. S. Dimes
Informant
(Address)
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
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
(State or country)
Germany
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
idowed
(or) WIFE of
.Chanafer. smith".
aiden pame of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive years
If less than 1 day
Hours ..
.....
.Minutes
12 BIRTHPLACE (City)
(State or country)
Minneopolis, Minn.
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Germany
Relation, if any
(daughter ......
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
Feb .... 16/44
19
St.
No.
PLACE OF DEATH
1
1595
(If U. S.
War Veteran,
specify WAR)
That I attended deceased from
which death
RM R-302
1
PLACE OF DEATH
CHEFOLK ... BOSTON
(City or Town)
No.
Peter Bent Brigham Hospital
The Commonturalth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF
CERTIFICATE OF DEATH
RnaYON
(City or town making return) 53
Registered No.
1729
5
(If death occurred in a hospital or institution,
St.
( give its NAME instead of street and number)
2 FULL NAME
Joseph Russo
(If deceased is a married, widowed or divorced woman, give also maiden name.)
55 Johnson 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 24 days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Feb
15
1944
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
Jan ... 2.3.44
19
That I attended deceased from
... Feb 15 44
19
I last saw h
alive on
im
Feb 15.44
19
.. , death Is sald to
have occurred on the date stated above, at
10 .19 P
.m.
Duration
Immediate cause of death
Cerebral hemorrhage
days
Due to .. Pulmonary ... edema
days
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations.
Date of
should be
charged sta-
tistically.
What test confirmed diagnosis?
autopsy
20 Was disease or Injury in any way related to ocoupation of deceased ?.
no
If so, specify.
W/ R. Duden
(Signed)
M. D.
(Address)
Boston Mass.
Date2/16
19.
44
21 PLACE OF BURIAL, St. Michael's
CREMATION OR REMOVAL
(Cemetery)
(City or Town)
DATE OF BURIAL
2.18.44
19
22 NAME OF
FUNERAL DIRECTOR
J. C/Kelly
ADDRESS
Boston Mass.
Received and filed.
19.
( Registrar of City ofThe
MAR 1-0-19 4here 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-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
(a) Residence. No.
(Usual place of ahode)
3 SEX
4 COLOR OR RACE
W
M
(or) WIFE of
6 Age of husband or wife if alive
7 IF STILLBORN, enter that fact here.
8
AGE
57
Years
.. Months ..
Days
9 Occupation :
Il Social Security No ..
12 BIRTHPLACE (City)
(State or country)
Italy
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
Italy
17
Informant
(Address)
TTNITE PEAINTET, ITITT UNPAVING BLACK INK THIS IS A PERMANENT RECORD
Industry
10 or Business :
Potato chips
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divoroed
HUSBAND of
(Give maiden name of wife in full)
Angela M.S .Labadini
(Hushand's name in full)
51
years
If less than 1 day
Hours.
Minutes
Usual
vendor (self emp>
13 NAME OF
FATHER
Felix Russo
15 MAIDEN NAME
OF MOTHER
Maria J. Cusolito
Relation,if any WI ( ...
A TRUE COPY.
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
2/21/44
19
Underline
the cause to
which death
Of autopsy.
above
(If U. S.
War Veteran,
specify WAR)
RM R-302
PLACE OF DEATH
(County) BOSTON
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
54
Registered No.
1808
(If death occurred in a hospital or institution,
St.
( give its NAME instead of street and number)
Addie M. Griffin
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residenoe. No.
(Usual place of ahode)
18 Beacon
St.
Winthrop, Mass.
(If nonresident, give city or town and State)
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months
23days.
In this community
yrs.
mos.
23 days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
F
4 COLOR OR RACE
W
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDMarried
(Month)
(Day)
(Year)
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of Herman ... A ...... Griffin.
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8
AGE.
6.8 Years ...
5
Months
24.
.. Days
If less than 1 day Hours. Minutes
Usual
9 Occupation :
Housewife
Industry
10 or Business :
At ... home.
Il Social Security No ....
none
12 BIRTHPLACE (City)
(State or country)
Charlestown, Mass.
13 NAME OF
FATHER
Daniel Carney
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Addie Tarbox
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Relation, if any
(husband ..
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
Feb 23/44
19
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Feb
18
1944
.Jan ... 26/44
19
...
to
Feb 18 /44
19
I last saw h ....
er ... alive on
2/18/44
19
....... , death Is said to
have occurred on the date stated above, at ......
.. 3 ... 45 ..
P.m.
Duration
Immediate cause of death
Bronchopneumonia
2 das
Due to. arteriosclerosis
Due to.
diabetes mellitus
Other conditions.
psychosis with cerebral
23 das Physigign
(Include pregnancy within 3 months of death)
arteriosclerosis
Major findings :
Of operations.
Date of
should be
charged sta-
tistically.
Of autopsy
What test confirmed diagnosis ?.
20 Was disease or injury in any way related to oooupation of deceased ?........
(Signed)
M. D.
(Address)
Boston State Hosp
2/19
44
19
21 PLACE OF BURIAL,
Ridgewood Cem-No. Andover, Mass
CREMATION OR REMOVAL.
(Cemetery)
Feb 21/44
y or Town)
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
R ....... H .... White
ADDRESS
Winthrop ..... Mass ..
Received and filed
19
(Registrar
MAR 1 bude deceased resided)
Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-302 to the clerk
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
50m (e)-1-41-4667
1
(City or Town)
No.
Boston State Hospital
17
Informant
(Address)
If so, specify.
R. Ehrenberg
Underline the cause to which death
58
19 | HEREBY CERTIFY,
That I attended , deceased from
(If U. S.
War Veteran,
specify WAR)
R-303-A
1
No.
2 FULL NAME
(Usual place of abode)
3 SEX
4 COLOR OR RACE
mak
5a If married, widowed, or divoroed
HUSBAND of
7 IF STILLBORN, enter that fact here.
8
AGE 2 4 Years
Months.
Days
Usual
9 Occupation:
prevale
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City) .......
(State or country)
13 NAME OF
FATHER
14 BIRTHPLACE OF
(State or country)
16 BIRTHPLACE OF
PARENTS
MOTHER (City)
(State or country)
17
Informant.
( Address )
extracts from the laws relative to the return of certificates of death.
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a recital to that effect
so that it may be properly classified under the international Classification of Causes of Death. see reverse side for
Industry
U.S. army
If less than 1 day
Hours .....
.Minutes
FATHER (City)
undman.
15 MAIDEN NAME
OF MOTHER
Florence ( unknown )
U.S. Com records. Relation, if any
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with mo BEFORE the burja) ør transit permit was issued : Www.D. Childrens (Signature of Agent of Board of Health or other)
Realthe Article 3/2/44
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that
I have Investigated the death
of the person above-named and that the CAUSE AND MANNER thereof
Fractured face y Skulle Traumatic Intracranial Nevonhag autural would occipital Scalp
20 Aocident, sulolde, or homlolde (specify).
accidental
Date of ocourrenoe ..
manch-1-
1944
Where did
Severe
Injury occur ?
(City or town and State)
Did Injury ooour In or about home, on farm, In Industrial place, or în publio
place ?
Highway
(Specify type of place)
Manner of
Injury
Injured in an auto collision
Nature of
at Revere Jan-1-1944
Injury
While at work?
?
Was there an autopsy?
21 Was disease or Injury In any way related to occupation of deceased? ..........
If so, specify.
(Signed)
Better
#16002-2-1944
(Address)
22
Springfield
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
23 NAME OF
FUNERAL DIRECTORUL
ADDRESS IS
Beads et Reue
Received and filed
MAR 6 1944
19
( Registrar)
50m (g)-1-41-4667
PLACE OF DEATH
Sullak /(County) Witteoh (City or Town) Fort Banky Station Hospital
The Commonfuralth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burlal permit with Board of Health or its Agent.
55
Registered No.
St. § ( If death occurred in a hospital or institution, ( give its NAME instead of street and number)
William C. Thomas
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN-IMPORTANT
(Was deceased a
U. S. War Veteran,
If so specify WAR)
# 2
(a) Residence. No.
154 Jaspar St. Springfield When
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months days.
(If nonresident, give city or town and State)
In this community
yrs.
mos. days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
(write the word)
18 DATE OF
DEATH
·March -
1
-1944
MARRIED
WIDOWED
or DIVORCED
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If allve years
واسعمن Man
M. D.
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.
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 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 hody in a town, or remove therefrom a human body which has not heen 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 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 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 he returned and recorded, which shall be accompanied, in case of an original interment, by a aatisfactory 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 hy the selectmen for the purpose, shall upon application make the certificate re- quired 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 an- other within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the pos- session of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such hody shall be returned to the town from which it-was removed within thirty-six hours after such re- moval, 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 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 regis- tration. The person to whom the permit is so given and the physician cer- tifying 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 re- quire .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has 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 per- son appointed to have the care of the cemetery or burial ground in which the interment is made .... Chap. 114, Sec. 46, G. L., (Tercentenary Edi- tion).
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