USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 31
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J F O'Maley
ADDRESS
Winthrop Mass.
Received and filled MAY 1 2-1947 19
(Registrar of City or Town where deceased resided)
---- ----......
Duration
immediate oause of death Prematurity
Due to.
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations.
Date of.
Underltne the cause to which death should be charged sta- tlstically.
Of autopsy
None
What test confirmed diagnosis?
20 Was disease or Injury in any way related to oooupation of deceased ?.... No.
15 MAIDEN NAME
OF MOTHER
Edna Toomey
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Phila.Penna.
(Address)
20 ... Ash ... St
Dat4-20
.19
47
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
Winthrop Can-Winthrop
(Cemetery )
(Clty or Town)
DATE OF BURIAL
April ... 2.2/47
19
Mass.
17 Informant ( Address)
Father
Relation, if any
18 DATE OF
DEATH
April 20/47
19 | HEREBY CERTIFY,
pril 20
That I attended deceased from
19 ...... 47,
April ... 20/47
19
I last saw h
er alive on
April 20
19.
47 ., death is said to
have ocourred on the date stated above, at 2.3.5₽ m.
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.)
1
PLACE OF DEATH
Boston
Registered No.
No.
(City or Town) Boston Floating Hospt 20 Ash
7
if so, speolfy.
Wm . V. Lulow
(Signed)
M. D.
.
Georgia
14 BIRTHPLACE OF
FATHER (City)
(State or country)
(Give maiden name of wife in full)
(If U. S.
War Veteran,
specify WAR)
+
FORM R-302
Essex
(County)
1
Danvers
(City or Town)
No.
Danvers State Hospital, Hathorne, Masse.
(If death occurred in a hospital or institution, give its NAME instead of atreet and number)
2 FULL NAME
William A. MacDougall
(If deceased is a married, widowed or divorced woman, give also maideu name.)
(a) Residence. No.
39.) Winthrop St., Winthrop, Lasts.
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay : in hospital or institution.
(Before death)
(Specify whether)
months
9
days.
in this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
April 18, 19 47,
to ...
April 27
19 ..
47
I last saw h.
im
April
alive on.
27, 19 47 death Is said to
have ooourred on the date stated above, at.
7:50
m.
Duration
Immedlate cause of death. Arteriosclerotic ..... heart
disease
5 yrs.
Due to
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Physician
Underline the cause to which death should be charged sta- tistically.
Of autopsy
What test confirmed diagnosis ?
Clinical
20 Was disease or Injury In any way related to oooupation of deopasod?
if so, speolfy.
(Signed)
Pasquale Buoniconto
M. D.
(Address)
Hathorne, Mass. Date
5/2 1947
Woodlawn Cem. Everett
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
(Cemetery)
(City or Town)
1947
DATE OF BURIAL
April 30
22 NAME OF
FUNERAL DIRECTOR
Howard S. Reynolds
ADDRESS
Winthrop, Dass.
Received and filed MAY 10 1947 19
(Registrar of City or Town where deceased resided)
MARCIN KEOENYED FOR DINDING
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
Copies of returna 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.)
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Nova Scotia, Canada
15 MAIDEN NAME
OF MOTHER Eleanor (Cannot be learned))
16 BIRTHPLACE OF MOTHER (City) (State or country) Nova Scotia, Canada
17 informant Lary ....... .... Mcphillips (
(Address)
Hathorne chass.
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
May 6
19
47
18 DATE OF
DEATH
April 27
1947
5a If married, widowed, or divorood
HUSBAND of
Mary ..... Kammerer
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If allve unknown
years
7 IF STILLBORN, enter that faot here.
8
AGE
74 Years
Months. .Days
If less than 1 day Hours Minutos
Usual
9 Ocoupatlon :
Industry
10 or Business :
Retired Shoe dealer
11 Soolal Security No.
None
12 BIRTHPLACE (City)
Boston
(State or country) Mass
13 NAME OF
FATHER
Donald McDougall
50m. (b) -6-44-14607
resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk
PLACE OF DEATH
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers
(City or town making return)
88
Registered No.
(If U. S.
War Veteran,
specify WAR)
years
Relation, if any
Major findings :
Of operations
Date of
That I attended deceased from
+
DEPARTMENT OF COMMERCE
Bureau of the Census
John Joseph McGrail
FULL NAME
1. PLACE OF DEATH:
(a) County
Hillsboro
(b) City or town
Manchester
(c) Name of hospital or institution : Elliot
(If not in hospital or institution write street number or location)
(d) Length of stay:
In hospital or institution
(Specify whether years, months or days)
In this community
(Specify whether years, months or days)
3. (a) x x x x X X x X
(b) If veteran, name war
(c) Social Security No. 028-10-4379
4. Sex
5. Color-race |
M
6. (a) Single, wid., mar., div. M
6. (b) Name of husband or wife: Catherine ... Herbert (Full name-Maiden name. if wife)
6. (c) Age of husband or wife, if alive 45 years
7. Birth date of deceasedNov 15, 1995
(Month)
(Day)
(Year)
Months Days
If less than one day
8. AGE: Years
41
5
13
hrs.
.min.
9. Birthplace .. Brookline., ... Mass (City, Town, or County) (State or Foreign Country)
10. Usual occupation
Salesman
11. Industry or business
Qil
FATHER
12. Name Patrick McGrail
13. Birthplace Ireland (City, Town, or County) (State or Foreign Country) Ellen McGrail
14. Maiden name
Ireland
15. Birthplace
(City, Town, or County) (State or Foreign Country)
16. (a) Informant's ownCatherine McGrail signature ..........
2. USUAL RESIDENCE OF DECEASED :
(a) State
Mass.
(b) County Suffolk
(c) City or town Winthrop
(d) Street No.
57 Emerson Rd.
(If rural, give location)
(e) If foreign born, how long in U.S.A .? years
MEDICAL CERTIFICATE
20. DATE OF DEATH: Month
April
28
x
year ..
1947
hour
10
min.
30 A
m.
21. I HEREBY CERTIFY that I attended the deceased from
19
to
..;
19
that I last saw h.
alive on
19.
....;
and that death occurred on the date and hour stated above
DURATION
Immediate cause of death Probable acute coronary occlusion
sudden ..
death .......
Due to
Due to
Other conditions
(Include pregnancy within 3 months of death)
Major findings: Of operations
Of autopsy
PHYSICIAN
Underline the cause to which death should be charged statistically Please write the causes of death clearly and legibly
22. If death was due to external causes, fill in the follow- ing:
CAUS
MARGIN RESERVED FOR BINDING
INLY WITH UNFADING INK. Every item of information should be carefully supplied. ;e is especially important.
MOTHER
COPY OF CERTIFICATE OF DEATH
STANDARD CERTIFICATE OF DEATH STATE OF NEW HAMPSHIRE
Town or City
Clerk's No.
30.6
89
day
57 Emerson St.
(b) Address
17. (a)
Burial
(Burial, Cremation, or Removal)
(b) Date thereof April 30, 1947
(Month)
(Day)
(Year)
(c) Place: Burial or cremation
... Winthrop ... Cemetery,Winthrop .... Mass.
18. (a) Signature of funeral
director
.... John .... F .......!. Maley.
(b) Address Win.thr.o.p., ... Mass.
Countersigned
Howard A.
Streeter
(Agent City Board of Health)
19. (a) ..... 4-28-47
(b)
4-29-47
(Date rec. by City Bd. of Health)
(Date rec. by Town or city clerk.)
Signature of Town or CityM. J. Quinn Clerk
Clerk of
Manchester, NH
(b) Date of occurrence
(c) Where did injury occur? (City or Town) (County) (State)
(d) 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
23. SIGNATURE
Robert
E.
Biron
M.D. or other
MD
Date signed 4-28-47
Manchester,
NH-Med. hef.
Address
A true copy, Attest :
Clerk of Manchester
Dated .
May .... 1.9, 19 ... 47
MAY 231947
M R-301 A
Luffelk.
(County) Nexthra (City or Togh) 11 Lea Fram No.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registared No. 90
Que
{ {If death occurred in a hospital nr institution. St. { give its NAME instead nf streer and number)
PHYSICIAN - IMPORTANT
encla
( If deceased Is a married, widowed or divorced woman, give also maiden name. )
(a) Residence. No. 11 Seu Form
(Usual place of abode)
Length of stay : In hosoltal or Institution
(Before death)
f Specify whether)
-
years
months days.
In this community / 0yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACEJ
5 SINGLE
( write the word)
MARRIED
WIDOWED
5a If married. widowed, or divorced HUSBAND of
(or) WIFE of
GasesGive maiden name of wife In tuyo
Galuan
( Husband's name in full)/
6 Age of husband or wife if alive
yaars
7 IF STILLBORN, enter that fact hera.
78 :68 Years Months Days
If less than 1 day
Hours
Minutas
Usual
Hausework
9 Occupation :
Industry
10 or Business:
at Home
11 Social Security No.
12 BIRTHPLACE (City)
(Siste or country)
13 NAME OF
FATHER
Nathan Jamyfel
14 BIRTHPLACE DF FATHER (City) (State or country)
15 MAIDEN NAME
OF MOTHER
PI Serios Sivia
16 BIRTHPLACE OF Living MOTHER (City) (State or country)
17 Informant
Rontion, If any
I HEREBY CERTIFY Wiat a satisfactory standard oartifioste of death was filed with me BEFORE the burial or transit permit was Issued! Matt A. Valles.
(Signature of Agent of Board of Health or other) Health Officer 5/2/47
(Official Designation) ( Date of Jaque of Permity
18 DATE DF
DEATH
( Month )
( Day)
( Year)
19 | HEREBY CERTIFY,
19 4/, to.
Mms 2 124?
I last saw h 2/2 / alive on
2 - 1947, death is sold to
hava occurred on the data statad above, at.
538
if m.
Duration
Immediate cause of daath Coronain theromáriois
IMPORTANT ....... (6 hris
Due to
Digesto, die and anterior
-
Due to
Other conditiona.
Diabetes mellitus
(Include pregnancy within 3 months of death)
IMPORTANT
Physician
Underline the cause to which de.ith should be charged ... tstically
20 Was diseasa or injury in ony way refatad to oooupation of daoersad ?
If so, speolfy.
( Signad)
M. D.
(Address)
235 /82 21/ 2/91
2× Sera
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
May
1947
22 NAME DF
FUNERAL DIRECTORU.
enjamin Kinnbach
Received and fled
19
( Registrar)
should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain
If deceased wss & U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to Insert a reoltal to that effect. extracts from the laws on back of certificate. terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions and
Harry Brass (Son-in-law)
100m-(g)-1-45-15510
1
PLACE OF DEATH
2 FULL NAME Lec
(Was deceased a no U. S. War Veteran, if sn specify WAR) Mais
st.
( If nonresident, give city or town and State)
MEDICAL CERTIFICATE OF DEATH
1907
Female Er kite
That I attendad deosased from
Major findings:
Of operations
C
Date of
Of autopsy.
What test confirmed diagnosis ?
PARENTS
MAY 6 1947
To be filed for burial permit with Board of Health or its Agent.
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 hest of his knowledge and helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired hy section one, where samne was contracted, the duration of his last illness, when last seen alive hy the physician or officer and the date of his death ... Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or hy section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the hest of his knowledge and helief, 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 hoth 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 see- 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 relicf expedition and the Philippine insurrection, which shall, for said purposes, he deemed to have taken place hetween February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nine- teen 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 hody which has not heen buried, 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 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 tomh other than the receiving tomb to another in the same cemetery, until he has received a permit from the hoard 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 heen delivered to such hoard, agent or clerk, as the case may he, 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, 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 be obtained early enough for the purpose, or is insufficient, a physi- cian who is a member of the board of health, or employed hy 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 hody, not previously interred, from one town to another within the commonwealth cannot he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession 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 removal, unless a permit in the usual form for the removal of such hody has heen 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 heen 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 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 he 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).
Medical examiners shall make examination upon the view of the dead hodies 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 hody lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.
No undertaker or other person shall bury a human body or the ashes thereof which have heen brought into the commonwealth until he has re- ceived a permit so to do from the hoard 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 hody is to be huried or the funeral is to he 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 hedside 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 hy recognized disease unrelated to any form of injury, have died without recent medical attendance or whose phy- sician 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 indirectly hy traumatism (including resulting septicemia), and hy the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following ahortion, hut 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, ete. 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 im- portant, so that the relative healthfulness of various pursuits can he known. Make some entry in this section for every person aged 10 years or over. If the occupation had 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 he 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, how- ever, designate the occupation hy the appropriate terms, as housekeeper- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
I R-301 A
See instructions and extracts from the laws on back of certificate. DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
PLACE OF DEATH
+ Luffald (County) Heuttrop 1 (City of Town) 233
Wurdeide are
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
91
St. { (If death occurred in a hospital or institution, I give its NAME instead of street and number)
PHYSICIAN - IMPORTANT ( Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No.
(Usual place of abode)
233 sardide Que
St.
Length of stay: In hospital or institution
(Before death)
(Specify whether)
years
months days.
In this community
3
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
7
4 COLOR OR RACE
21.
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
5a If married, widowed or divorced HUSBAND of .
(or) WIFE of
Bugre maiden name Avife in full)
Elbandenname it Anderson
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
8 AGE78
Years 11 Months 27 Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation: .
ifauseural
Industry
10 or Business:
11 Social Security No.
12 BIRTHPLACE (City)
(State of Country)
13 NAME OF
FATHER
Daniel Debatir
14 BIRTHPLACE OF
FATHER (City)
Chelara
(State or Country)
15 MAIDEN NAME
OF MOTHER
Ellen Butter Kuthe
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
make
)
none
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burfal or transit permit was issued: Martes A. Bakers - (Sunature of Agent of Board gulch or other) healthy Officer (Official Designation) ( Date of Issue of Permil) 5/3 /47
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
May
3
(Month)
(Day)
1947
(Year)
I HEREBY CERTIFY,
That I attended deceased from
april 3
19
May 3
·
to
.
19 47 .
I last saw her
alive on
may
3
! 192 , death is said to
have occurred on the date stated above, at0:30 a.
m.
Duration
Immediate cause of death
anteroclerotic heart disease
IMPORTANT 5 years
Due to
Engestive Failure
Due
Chiave Interstitial heplantes 2 years
Other conditions
Urania
(Include pregnancy within 3 months of death)
Major findings:
Of operations
none
Date of
Of autopsy
none
What test confirmed diagnosis
20 Was disease or injury in any way related to occupation of deceased?
If so, specityn
(Signed Jacob & Chamo 1. 80
. M. D.
(Address 362 Medley St
Date
Way 3 1947
Place of Burial, Cremation or Removal. (City or Town)
66
DATE OF BURIAL
19
22 NAME OF
William & hendes
ADDRE
Received and Filed
MAY 6 1947
19
(Registrar)
1 week
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
17
Informany
(Address)
Chelaca
Relatudn, if any dans
100m-0-44-14955
No. .
Blanche D. Anderson
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(If nonresident, give city or town and State)
PARENTS
Chelsea
X
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 aud 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 bas 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 relicf expedition 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 Mexican border service of nineteen hundred and sixteen and nine- teen 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 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, 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 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, 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
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