USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 45
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FATHER (City)
(State or Country)
Cape Breton
15 MAIDEN NAME
OF MOTHER
Celina LeBlanc
16 BIRTHPLACE OF
MOTHER (City)
(State or Country)
Cape Breton
17 Amelia Thibeau ( Blatfe, if any )
Informant (Address, 295 Winthrop St
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or Margit permet was issued:
Walter (Sixnature of Agent board of Birther)
Healthe affect
(Date of Issue of Perm 7/2/47
(Official Designation)
19 I HEREBY CERTIFY, That I attended deceased from
. 19
, to
, 19
I last saw h
alive on
, 19
have occurred on the date stated above. at
9:15 P.
m.
Immediate cause of death
natural causes
Probable coronary occlusion
Due to
Other conditions
(Include pregnancy within 3 months of death)
none
Major findings:
Of operations
none
Date of
Of autopsy none
What test confirmed diagnosis?
clinical.
Duration IMPORTANT
1 hour
IMPORTANT
Physician Underline the cause to which death should be charged sta- tistically.
no
20 Was disease or injury in any way related to occupation of deceased?
If so, specify
arthur C. Murray
, M. D.
(Signed)
(Addr
Minthof Board of Health Date 1 Jul
1947.
21
Winthrop
Winthrop
Place of Burial, Cremation or Remyval.
1943" Town
19
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR
Winthrop Masg
ADDRESS
Received and Filed
19
JUL 2 1947
(Registrar)
Sce instructions and 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-9-44-14955
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
June
30, 1947
(Day)
(Ycar)
5 SINGLE (write the word)
MARRIED
WIDOWED
or DIVORCED Married
(Give maiden name of wife in full)
, death is said to
Clifford J. Thibeau 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
Registered No.
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 belicf 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 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 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 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 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 expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and nincty-eight and July fourth, nineteen hundred and two, and the Mexican horder 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 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 hoard, from the clerk of the town where the person died; and 110 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 tonib 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 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 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 medi- eal 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 body shall he 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 been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten of chapter 1011y-six, tuat 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 neces- sary 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).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; .. . - General Laws, Chap. 38, Sec. 6.
No undertaker or other person shall bury a human hody 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 hoard, from the clerk of the town where the hody 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 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 forum of injury, have died without recent medical attendance or whose phy- sician is absent 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 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 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 heen 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, how- ever, 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
R-302
Middlesex
(County) Tewksbury, Mass.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Tewksbury State Hospital and Infirmary
(City or town making return)
Registered No.
110134
(If death occurred in a hospital or institution,
St.
give ita NAME instead of etreet and number)
2 FULL NAME
Bridget Ferrins
(If deceased ie a married, widowed or divorced woman, give aleo maiden name.)
11 Neptune Avenue
ST.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In hospital or institution ..
(Before death)
(Specify whether)
years
In this community
yrs.
moe.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDMarried
(Month)
(Day)
(Year)
FebHEfgBY
CERTIFY, 19
to
19
I last saw h.
er .... alive on
April
4
1947
deeth Is said to
have ocourred on the date stated above, a
12 :10P.
.m.
Immediate cause of death
Hypertensive Heart Disease
abt.
(over)
8
AGE ..
6.4. Years
Months.
.Days
If less than 1 day
Hours.
.. Minutes
Housewife
Industry 10 or Business :
11 Social Security Nc ...
None
12 BIRTHPLACE (City)
(State or country)
Ireland
13 NAME OF
FATHER
Patrick Malleigh
14 BIRTHPLACE OF
FATHER (City)
Not learned
(State or country)
Ireland
15 MAIDEN NAME
OF MOTHER
Catherine Creighan
20 Was disease or Injury In any way related to occupation of deceased?
If so, speolfy
Lois B. Crowell
(Signed)
T. S. H. & I., Tewksbury
Date
4/7
19
(Address)
21 PLACE OF BURIAL,
St. Patrick's, Watertom
CREMATION OR REMOVAL
April. 10,
DATE OF BURIAL
19.
22 NAME OF
FUNERAL DIRECTOR
John F. O'Maley
ATTEST:
(Registrar of city or town where death occurred)
DATE FILED
April 7,
19
47
Other conditions.
Diabetes Mellitus
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of
Of autopsy
Clinical
What test confirmed diagnosis? x-ray EKG
Underline the cetee to which death should be charged eta- tistically.
PARENTS
16 BIRTHPLACE OF
MOTHER (City)
Not learned
(State or country)
Ireland
17
Hospital Records
(
Relation, if any
Informant
(Address)
A TRUE COPY.
C.Wanting Houghton
Supt. ADDRESS
Inthrop, Mass.
Received and filed JUL 1 4 1947 .19
(Registrar of City or Town where deceased resided)
50m. (b) .6.44-14607
1
PLACE OF DEATH
vi wie city or town in which the deceased resided. (See Chap. 16, Sec. 12, G. L.)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
April
7
1947
Female
5a If married, widowed, or divorced
HUSBAND of
Figamideperros yify in full)
(or) WIFE of
(Husband'e name in full).
6 Age of husband or wife If allve 69
years
7 IF STILLBORN, enter that fact here,
Due to.
Generalized and cerebral
Arteriosclerosis
Due to
Duration Years
Usuel
9 Occupation :
Not learned
Physician
MA
47
(If U. S.
War Veteran,
speolfy WAR)
(a) Residence. No.
(Usual place of abode)
(City or Town) Tewksbury State Hospital and Infirmary No.
1
months
18 day.
ATfas il jattended deceased from
A R-302
Essex
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF
Danvers
(City or town making return)
Registered No.
135
Danvers State Hospital, Hathorne, Mass No.
(If death occurred in a hospital or institution,
give its NAME instead of atreet and number)
. Cora Holahan (Cora Lowe)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
81 Plummer Ave ...
Winthrop, Mass
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In hospital or institution.
(Before death)
(Specify whether)
years LOmontha 28 days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female
4 COLOR OR RACE| 5 SINGLE
(write the word)
Married
MARRIED
WIDOWED
or DIVORCED
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY.
July 18 19 46
to
June 16
1947
I last saw h
er
.alive on
June
16
19.4. .. , death is said to
have ooourred on the date stated above, at. 4:00 a. m.
6 Age of husband or wife If allve .Unknown
years
7 IF STILLBORN, enter that faot here.
8 79
AGE
Years.
.Months.
Days
If less than 1 day
Hours ..
.Minutes
Usual
Unable to work
9 Ocoupation :
industry 10 or Business :
11 Soolal Security No ....
None.
12 BIRTHPLACE (City)
St. Louis
(State or country)
Missouri
13 NAME OF
FATHER
Stephen Lowe
14 BIRTHPLACE OF
FATHER (City)
St. Louis
(State or country)
Missouri
15 MAIDEN NAME
OF MOTHER
Elizabeth Hart
16 BIRTHPLACE OF
MOTHER (City)
St ....... Louis
(State or country)
Missouri
21 PLACE OF BURIAL,
Winthrop Cem. Winthro
CREMATION OR REMOVAL
DATE OF BURIAL
Junem
(Cemetery)
(City or Town)
19.
47
22 NAME OF
FUNERAL DIRECTOR
Howard .... S ..... Reynolds
ADDRESS
Winthro
JUL 1 4194FASS.
19
Received and filed
(Registrar of City or Town where deceased resided)
50m. (b) .6.44-14607
icalled in another city or town at the time of death should be made forthwith and transmitted on Form R-808 to the clerk
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
1
PLACE OF DEATH
(County)
Danvers
CERTIFICATE OF DEATH
(City or Town)
A TRUE COPY.
ATTEST :
(Registrar of city of com where death occurred)
19
47
DATE FILED June 23
immediate oause of death
Arteriosclerotic heart
disease
10 yrs.
Due to.
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
Major findings :
Of operations
Date of
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 deopased? If so, speolfy
(Signed)
Francis X. Sullivan
M. D.
(Address) Hathorne, Mass. Date 6/20 1947
17 informant ... (Address) Hathorne Dass.
Mary .... K ...... Mcihillips (
Relation, If any
18 DATE OF
DEATH
June
16
1947
White
5a If married, widowed, or divoroed
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Anthony ...... Ho.la.han ...
(Husband's name in full)
That I attended deceased from
Duration
PARENTS
(If U. S.
War Veteran,
speolfy WAR)
1 R-302
Essex
(County)
Danvers
(City or Town)
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, No. Danvers State Hospital, Hathorne, Masst
give its NAME instead of atreet and number)
2 FULL NAME
William M. Worcester
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 19 Center St., Winthrop, Mass. St.
(Usual place of ahode)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years
months
da y s.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Male
4 COLOR OR RACE
White
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
5a If married, widowed, or divorced Texas G. Marston
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Hushsnd's name in full)
6 Age of husband or wife If allve 70?
years
7 IF STILLBORN, enter that faot here.
AGE .. 8.8 ..... Years Months Days
If less than 1 day Hours Minutes
Usual
9 Ocoupation :
Unable to work
Industry 10 or Business :
11 Social Security No. More
Bangor
12 BIRTHPLACE (City)
(State or country)
Maine
13 NAME OF
FATHER
Daniel Worcester
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Maine
15 MAIDEN NAME OF MOTHER Cannot be learned (Eastman ? )if so, speolfy.
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Maine
17 Mary K. McPhillips ( Relation, if any
Informant
(Address)
Hathorne Mass.
A TRUE COPY.
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
June 23
19
47
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
June
16
1947
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY,
June 2
That I attended deceased, from
allve on
I last saw h
im
June 16
19 47 death is said to
have occurred on the date stated above, at.
.. 1 .:. 3.0 ..... p.m.
Duration
Immedlate cause of death
Arterioscloroticheart
disease
20 yrs.
Due to.
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Major findings:
Of operations
Date of
Physician Underline the cause to which death should he charged sta- tistically.
What test confirmed diagnosis?
Clinical
20 Was disesse or Injury In any way related to oooupation of deopased ?.
(Signed).
Pasquale ..... Buoniconto
M. D.
(Address)
Hathorne, Mass. Date5/20 1947
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
(Cemetery)
June 18
Oak Grove Cem.
Medford
DATE OF BURIAL
(City or Town)
19
47
22 NAME OF
FUNERAL DIRECTOR
Alfred B. Marsh
ADDRESS
Winthrop Mass.
JUL 141947
19
Received and filed
(Registrar of City or Town where deceased resided)
.
. wwwturnt anvurer chy or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)
50m . (b) .6.44.14607
1
PLACE OF DEATH
Danvers
(City or town making return)
Registered No.
136
1
L
(If U. s.
War Veteran,
speolfy WAR)
(If nonresident, give city or town and State)
14
1941
June 16
194/
to ...
Of autopsy
PARENTS
A
1
PLACE OF DEATH
Suffolk (County) Welkoop
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be fled for berial permit with Board of Health or its Agent.
Registrar's No. 137
St. ยง (If death occurred in a hospital or institution, ( give its NAME instead of street and number) PHYSICIAN-IMPORTANT
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a)
Residence. No.
28 Thornton St
St.
(Usual place of abode)
Length of stay: In hospital or Institution
(Before death)
(Specify whether)
years
months - days."
(If nonresident, give city of town and Statc)
In this community /4 yrs.
mes.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACE
5 SINGLE
(write the word)
Single
5a If married, widowed, er 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.
AGE
8
74 Years- Months
Days
If less than 1 day
Hours .....
Minutes
Usual
9 Occupation:
Clergyman
Industry
10 or Business:
St John The Evangelist
11 Social Security No.
12 BIRTHPLACE (City)
(State or country)
Doston
13 NAME OF
FATHER
nell 9. Brennan
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Iceland
15 MAIDEN NAME
OF MOTHER
Elever Bar
- Deland
17 battery Branna Relation, if any States
21
Holy Cross Taldu
Place of Burial, Cremation or Removal. (City or Town) 1947
DATE OF BURIAL
22 NAME OF
dises and & memachen
FUNERA
ADDRESS
72 Murky Hill St Chose,
19
(Registrar)
from the signs on mil ner
50m-(e)-3-43-11574
was fyled with me BEFORE the burial or transit permit was issued: I HEREBY CERTIFY thit a satisfactory/standard certificate of death Valter A. paleis
Signature of Agricol Board of Ilumina other Health Effects
1 7/7/47
(Official Designation)
18 DATE OF
DEATH
(Month)
1947
(Day)
(Year)
19 I HEREBY CERTIFY,
1947,
to.
19.
That I attended deceased from
I last saw h
alive on ...
Truly 5, 147
death is said to
have occurred on the date stated above, afonso
Immediate cause of death.
10:15
Duration IMPORTANT
Due to.
antonio pelasos
Due to.
Other conditions.
(Include pregnancy within 3 months of deathi)
Major findings:
Of operations
Date of
Of autopsy. What test confirmed diagnosis?
IMPORTANT Physician
Underline the cause to which death should be charged sta- tistically.
20 Was disease or injury in any way related to occupation of deceased? o If so, specify.
(Signed)
(Address) Y Washington 7-6-19
M. D. 47
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Informant. (Address) 28 Therato St
(Date of Issue of /crmit)
Received and filed
JUL 9 1947
If deceased was a U. S. War Veteran, G. L., Chap. 46, Sec. 10, requires physicians to insert a recital to that effect. PARENTS
No.
28 Thornton St Wuthey Fax neil Paul Brennan
(Was deceased a
U. S. War Veteran,
if so specify WAR).
MARRIED
WIDOWED
or DIVORCED
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last scen 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 deccased, 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 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 fomb 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 aforcsaid 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 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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