USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1945 > Part 57
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SPACE FOR ADDITIONAL INFORMATION
M R-301 || L
Sulfath
(Coraty) : Winthrop
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
171
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Daniel Linardo
Cina-
(If deceased is a mafried widowed or divorced woman, give also maiden name.) 44 Monio It
(a) Residence. No ... (Usual place of abode) Length of stay: In hospital or institution
costal (Specify whether)
years
months
days.
In this community
-yrs.
mos
days.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
5 SINGLE
MARRIED
WIDOWER
or DIVONLAS
(write the word)
5a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
& Age of husband or wife if alive
.years
7 IF STILLBORN, enter that fact hero.
If less than 1 day .Hours .......... .Minutes
11 Social Security No.
Kim And Myass
David Limando
14 BIRTHPLACE OF
FATHER (City)
......
Castro
15 MAIDEN NYTT OF MOTHER
Jay Sean Sercito
16 BIRTHPLACE OF MOTHER (City) ...
(State of country)
17 David Intarda (Audio) 44 many
I HEREBY CERTIFY that a satisfactory standard cortificate of death was filed with me BEFORE the burial or transit pormit was issued
Um F Geweldren
(Signaturs of Agent of Board of Health or other)
Ho Seby 10/45
(Official Designation) (Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
Bay)
(Year)
19 I HEREBY CERTIFY, That I attended deceased from
ezt 3
80
19 ...
.... , to ...
font 8
19 ... 9
I last saw h. the alive on .....
196, death is said
to have occurred on the date stated above, at.
Duration
Immediate cause of death ... ... prenatunits (6%)
Due to
Due to ..
Other conditions
(Include pregnancy within 3 months of death)
Major findings : Of operations
Date of
Of autopsy
...
What test confirmed diagnosis ?.
20 Was disease or lojery In any way related to occupation of deceased ?
If so, specify ...
M. D.
(Signed) (Ada ) 30 arcene Que at 2014 .19 ... La.
Michael
(City or Town)
Place of Burial, Cumation or, Remoyal. DATE OF BUREL 145
22 NAME OF
FUNERAL DIREKTOR
ADDRESS
Received and filed
A TRUE COPY ATTEST: SEP 1 8 1945
(Registrar)
(If U. 3. War Veteran. specify WAR)
St.
Saat Boston Mars
(If nonresident, give city or town and state)
Abobital St. .. St. 1
Registered No
2 FULL NAME
1 PLACE OF DEATH Nov ... (or) WIFE of 8 AGE .. Years Usual 9 Occupation: Industry IO or Businoss: 13 NAME OF FATHER PARENTS is very important. See instructions aud extracts from the laws on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state 200m-10-'39. No. 8427-d N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of (State or county)
Boat. notified 1.0 - 6 - 45
2 linguafor
DeJationgHany
PHYSICIAN
Underline the cause to which death should be charged sta- tistically.
21
1445
12 BIRTHPLACE (City)
(State or country)
L Month Days
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physiclan 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 regis- tration 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 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 de- livercd to such board, agent or clerk, as the case may be, a satisfac- tory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner 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 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- six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the death certificate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it 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 fur- nish 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.)
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 he 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 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 bedside care during a last ill- ness 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 un- related to any form of injury, have died without recent medical attendance or whose physician is absent from bome 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 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 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 morbid 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 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 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
per host. 9/12/45
1
PLACE OF DEATH
(City or Town) Winthrop Community No.
§ ( If death occurred in a hospital or institution, " { give its NAME instead of street and nuruber)
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so speolfy WAR) E. Boston, Mass.
(If nonresident, give elty or town and State)
Length of stay : In hosoltal or Institution
(Before desth)
-
yeara
months
days.
In this community
yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX 7
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
OF DIVORCED-Funyle
5a If married, widowed, or divoroed HUSBAND of
(or) WIFE of
( Husband's name In full)
6 Age of husband or wife if alive
ears
> IF STILLBORN. enter that fact here. Stillborn
8
AGE
Years
Months
Days
If less than 1 day Hours Minutes
Usual
9 Occupation :
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE (City)
( State or country)
Winthrop
mais
13 NAME OF
FATHER
Rocco La La Vacca
14 BIRTHPLACE OF
FATHER (Clty)
Boston Brand
....
(State or country)
many new york
15 MAIDEN NAME
OF MOTHER
Mary Sarno
16 BIRTHPLACE OF
MOTHER (City)
....
Boston Belmont
(State or country)
mass
17
Posso Lakacea Relation, If any
Informent
( Address)
144 Trenton St. E Factur
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burlai or transit permit was Issued : William D, Childress, (Signature of Agent of Board nf Health or other) agent 9/10/45
(Omcia! Designation) ( Date of Ingde of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
9-
( Month)
8
(Day)
(Year)
19 | HEREBY CERTIFY,
That I attended deosased from
9-8-45.
19
9-80
45
19
I last sow h.
.. allve on.
19
deeth is sald to
have occurred on the date stated above, at ... m.
Immediate cause of death.
Due to
Due to
Cord knollig around
both ankles
interes
Other conditions.
( Include pregnancy within 3 months of death)
Major findinge: Of operations
Date of
Of autopsy
What test confirmed diagnosis ?
20 Was disease or injury in any way related to oooupation of deceased ?.
......
If so, spealfy.
('Signed)
(Address) 186 Primalland98
. M. D.
Data 9-8- 1945
21 V Micheala Commentary Place of Burial, Creniation or Removal. (City or Town)
Roslindale
DATE OF BURIAL ....
Sept 10
1945
22 NAME OF
Micheal Pennacchio
FUNERAL DIRECTOR.
ADDRESS
59 do margin it Both
.Received and filled.
.19
( Registrar)
=
R-301 A + Suffolk (County)
The Commonforall 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.
172
2 FULL NAME ..
Baty, Lavacca
( If deceased is a married, widowed or divorced woman, give also maiden name.) 144 Trenton
(a) Residence. No.
(Usual place of abode)
(SperIfy whether)
( write the word)
9/12/15
PARENTS
100M-6 - 2-42-8855
extracts from the laws on back of certificate. if deceesed was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that ofisot. per hour. Panmarches
1
Duration IMPORTANT ....
que
...
IMPORTANT
Physician Uuderline the cause to which death should be charged sta- tistically.
assunta l
La Vacca
St.
40
(Give maiden name of wife In full)
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 any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the hest of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died. defined as re- quired by section one. wlirre same was contracted. the duration of his last illness, when last seen slive by the physician or officer aud the date of hla death ... Gen. Laws, Chap. 16, Sec. 9.
A physician or officer furnishing a certificate of death aa 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 e 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 saine. For neglect to comply with any provision of this section, auch physician or officer shall forfeit ten dollars. For the purposes of this aec- tion and of sections forty-five, forty-six and forty-xcven of said chapter one hundred and fourteen, the word "war" shall inchunile the China relief ex- pedition and the Philippine insurrection, which shall, for seid purposea, he deemed to have taken place hetwcen 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. 16, Sec. 10.
Nn undertaker or nther 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 ita agent appointed to isaue 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 humen 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 haa received a permit from the board of health or ita agent aforesaid or from the clerk of the town where the body is huried. No such permit shall be issued until there shall have been delivered to such board, ogent or clerk, os the case may be, a setisfactory written statement containing the facta 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, o1 in lieu thereof a certificate as hereinafter provided. if there is no attending physician, or if, for sufficient reasons, his certificate catmnot be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the hoard of health, or employed by it or by the aelecttnen for the purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused hy violence, the medl. cal examiner chall 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 reoroval; 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 aooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter forty-eix, that the deceased aerved in the army, navy or marine corps of the United 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 statenient 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 neces sary information which can be obtained as to the deceased. or as to the manter or canse of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45. C. 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 lias re- ceived a jurinit so to do froni the board of health or its agent appointed to issne such permits, or if there is no such hoard, from the clerk of the town where the boily 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. 16. G. L., (Tercentenary Edition).
Medical examinera shall make examination upon the view of the dead bodies of only such persons as are supposed to have died hy violence. if a medical examiner has notice that there is within his county the hody of such a person, he shall forthwith go to the place where the body lles aud take cburge of the same; ... - General Laws, Chap. 38, Sec. 6.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calle for the observance of the following rules of practice :
(I) Attending physicians will certify to such deatha only as those of persona to whom they have given bedside care during a last illueaa 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 disahled by recognized disease unrelated to any form of injury. have died without recent medical attendance or whose physi- cian ia absent from home when the certificate of death ia needed.
(3) Medloal Examiners will investigate end certify to all deatha sup- posebly due to Injury. These include not only desihs consed directly or in- directly by traumatism (including resulting septicemia), and by the action of chemical ( drugs or poisons), thermal, or electrical agents, and deatbs following ahortion, but also deatha from diseass resulting from Injury or Infection related to ocoupetion, the sudden deaths of persons not disabled by recognized discese, and those of persons found dead.
Statement of Couse 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. Aa 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 la very im- portant, so that' the relative healthfulness of various pursuits can be known. Make aome entry in thia aection for every person aged 10 years or over. if the occupation had been given up or changed on account of the discase causing death, report the usual occupation prior to illness. If the deceased had retired from businesa, report the usual occupetion prior to retirement. Children not gainfully employed may be returned aa at school or at hoine. For a woman whose only occupatiou waa that of home housework, write bousework. For a person engaged in domestic service for wages. however, designate the occupation by the appropriate terma, ao housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
E
M R-301 ||
Suffolk (County) 1 Winthrop (City or Town) PLACE OF DEATH (Usual place of abode) 3 SEX Female 4 COLOR OR RACE White 5a If married, widowed, or divorced HUSBAND of faniive made angle. (or) WIFE of ... (Husband's name in full) 6 Age of husband or wife if alive. 7 IF STILLBORN, enter that fact here. Roz 82 Years Months .. .Days Usual 9 Occupation :. 11 Social Security No .. none CountyKerry 12 BIRTHPLACE (City) (State or country) 14 BIRTHPLACE OF FATHER (City) PARENTS 16 BIRTHPLACE OF MOTHER (City) (State or country) Geland 17 Gertrude J. Doyle Informo CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state is very important. See instructions and extracts from the laws on back of certificate. 200m-10-'39. No. 8427-d I. D .- WRITE ILAINAI, YITIR ORTAVINO DLAVA INNS FATTO W A PERMANENT KEURD, EVOTY Item of (State or country) Ireland
Breton
notiquê 10-6 - 45
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or town making return)
Registered No.
123
$ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAMEDoy.le ..... Nora (If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ....
31 Moore St
St. .. East .. Boston, ... Mass.
(If nonresident, give city or town and state)
Length of stay: In hospital or institution
(Specify whether)
years
months
1 days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
.years
If less than 1 day
.Hours ...........
.Minutos
Industry
10 or Business1
at Home
Ireland
13 NAME OF
FATHER
Daniel O'Connor
15 MAIDEN NAME
OF MOTHER
Mary Reagan
Relation, if any
Daughter) (Address) 31 move It( Best Beatty
I HEREBY CERTIFY that a satisfactory standard certificato of death was filed with me BEFORE the burial or transit permit was issued: William D. Childress (Signature of Agent of Board of Health or other)
agent- 9/10/45
(Official Designation) "Date of Issue of Permit)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF September
DEATH
10
1945
(Month)
(Day) /
(Year)
19 | HEREBY CERTIFY. That I attended deceased from
March 3,
19.45, to September 10, 1945
I last saw h .... At ... alive on ..
September 10, 1945, death is said
to have occurred on the date stated above, at ..!!!
.m.
Immediate cause of death ....
Cerebral embolism left with
ight hemiplegia
Due to auricular fibrillation
auricular fit. ilistic
Due to
anticoschematic least
disegna
Other conditions
MORE.
(Include pregnancy within 3 months of death)
Major findings :
Of operations
More
...
.Date of ..
Of autopsy
nous
What test confirmed diagnosis
Clinical+tabany cally.
20 Was disease or Injury In any way related to occupation of deceased ?
If so, specify ..
(Signed) Maurice Traunstein
(Address) 562 Shirley S
M. D.
Salt.10 19 45
21
att calvary
Plactvor Duthat, Cremation or Removed.
DATE OF BURIAL
9/13
1945
22 NAME OF
FUNERAL DIRECTOR
Dennis . Sweeney
ADDRESS
Received and filed. SEP 1 1 1945
A TRUE COPY ATTEST:
(Registrar)
18 hours
4 days ...
.......
5 years
PHYSICIAN Underline the cause to which death should be
burged sta-
Duration
... .....
...
No ... Winthrop ... Community .... Hospital
.....
.......
(If U. S. War Veteran. specity WAR) 200
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 regis- tration 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, Scc. 9.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human hody which has not heen huried, until he has received a permit from the hoard 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 huried. No such permit shall be issued until there shall have been de- livered to such hoard, agent or clerk, as the case may he, a satisfac- tory 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 by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physician who is a member of the hoard of health, or employed hy it or by the selectmen for the pur- pose, shall upon application make the certificate required of the at- tending physician. If death is caused by violence, the medical exam- iner 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 ohtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such a 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 removal, unless a permit in the usual form for the removal of such body has been sooner ohtained hereunder. If the death certificate contains a recital, as required hy section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The 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 fur- nish for registration any other necessary information which can he
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