USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 63
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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 aud 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 elerk 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 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 person appointed to have the care of the cemetery or burial ground in which the interment is made. . .. Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose 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 by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-302 +
PLACE OF DEATH
Suffolk (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
(City or town making return)
1
Boston
(City or Town)
St.Elizabeth's Hospital
No. (If death occurred in a hospital or institution, St. give its NAME instead of atreet and number) -
2 FULL NAME
Baby Girl Curran
(If deceased is a married, widowed or divorced woman, give also maiden name.)
40 Belcher
St.
(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
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX F
4 COLOR OR RACE
W
5 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Single
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
Sept .30
47
19
...
19
(or) WIFE of
(Husband's name in full)
6 Age of husband or wife If allve
years
7 IF STILLBORN, enter that fact here.
8
AGE
Years.
Months
Days
4
If less than 1 day
Hours.
.Minutes
Due
Usual
9 Ocoupatlon :
----
Industry
10 or Business :
11 Social Security No ..
12 BIRTHPLACE (City)
(State or country )
Boston "ass.
13 NAME OF
FATHER
William J Curran
14 BIRTHPLACE OF
Boston Mass.
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
Alice Curran O.K.
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston "ass.
17 Informant. (Address)
Mother
(
Relation, If any
A TRUE COPY. had Donning
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED
O.c.t. ... 14/47
19
Reoelved and filed 19
OCT 2 1917
(Registrar of City or Town where deceased reskled)
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-30x to the clerk of the city or town in which the deceased resided. (See Chap. 16, Sec. 12, G. L.)
PARENTS
Of autopsy
What test confirmed diagnosis ?
20 Was disease or Injury In any way related to occupation of deceased
No
If so, spoolfy EM Campbell
M. D.
(Signed)
St. Eliz . Hospt
Date 10-3
19
47
(Address)
21 PLACE OF BURIALMt Benedict
CREMATION OR REMO
Oct 11/47
WIFEYOURY
DATE OF BURIAL
(City or Town) 19
22 NAME OF
FUNERAL DIRECTOR
J H Sullivan
ADDRESS
Brighton
€ 86 .
Physician
Underline the cause to which death
Major findings :
Of operations
Date of
should be charged sta- tistically.
Duration
Immedlate cause of death
Prematurity 32 weeks
ised from
I last saw h ...
er .... alive on
have ooourred on the date stated above, at.
11:45P
.m.
to ..
Oct. 3/47
death Is sald to
5a If married, widowed, or divoroed
HUSBAND of
(Give maiden name of wife in full)
18 DATE OF
DEATH
Oct. 3/47
(If U. S.
War Veteran,
spepify WAR)
Winthrop Mass.
(a) Residence. No.
(Usual place of abode)
Registered No.
87700
Due to
(Maternal toxemia )
Other conditions.
(Include pregnancy within 3 months of death)
-301 A
extracts from the laws on back of certificate. If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot. PARENTS
100m. (g)-1-49.15510
I HEREBY CERTIFY that a satisfactory standard certifloate of death was fled with me BEFORE the burial or transit permit was issued ? Hallte H. Pavel J ......
(Signature of Agent of Board of Health or other)
10/6/47
(Oficial Dealgmatton) ( Date nt lmque of Permit)
18 DATE OF
DEATH
OCT
3
( Month)
(Day)
1947 (Year)
3 SEX
M
4 COLOR OR RACE
what
5 SINGLE
( write the word)
S
5a If married, widowed, or divorced HUSBANO of
(or) WIFE of
( Husband's name in rull)
6 Age of husband or wife if allve years
7 IF STILLBORN, enter that fact here. stillborn
8 AGE Yeers Months Days
If less than 1 dey Hours Minutes
Usual
9 Occupetion :
Industry
10 or Business :
11 Social Security No.
12 BIRTHPLACE ( City)
( Siste or country)
With
13 NAME OF
FATHER
albert Givenchy
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
Man
15 MAIOEN NAME
OF MOTHER
mildred Kamp
16 BIRTHPLACE OF
MOTHEP. (City)
Cape fiant Girardeau
( State or country)
Minami
21
Wordlam wordt
Place of Burial, Cremation or Removal.
(City or Town)
DATE OF BURIAL
22 NAME OF
FUNERAL DIRECTOR
ADORESS
262
Board of Review
Received and fied
( Registrar)
1
PLACE OF DEATH
+ Suffal (Cung)
1X7/47
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.
191
" (If death occurred in a hospital or institution, give its NAME instead of street and number)
BABY Doy GinENSKY
2 FULL NAME
( If deceased is
married, widowed or divorced woman, give also maiden name.) 54 Wane St.
(a) Residence. No.
(Usual place of abode )
37
waver
Length of stay: in hospital or Institution
( Before death)
( Specify whether )
yeora
months days.
In this community
yra.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
19 | HEREBY CERTIFY,
19 ...
... , Ło
19
Thet 1 attended deceased from
i last saw h
alive on.
, 19
death is said to
have occurred on the date stated above, at
m.
Immediate cause of death
FETAL DEATH IN UTERO
IMPORTANT .... ..........
Que to
Throwbasis of
145
Other conditions
(Include pregnancy within 3 months of death)
IMPORTANT
Major findings:
Of operations
Oata of
Of outopsy
Whet test confirmed diegnosis?
20 Was disease or injury in any way related to occupation of daocesed ? if so, spoolfy.
( Signad)
a
(Address) Sie Coman Formula By Date CCK
M. O.
AJ1945
8 8.19
17 Hospital Records
Relation, If any
Informant ( Address)
Reallife
No.
Whitting (City or Town) Writing Comment Hospital
St.
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Revy
( If nonresident, give city or town and State)
MARRIED
WIDOWEO
or DIVORCED
(Give maiden name of wife in full)
Duration
Due to
Physician
Underline the cause to which death should be charged « .. tistically
1947
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 helief the name of the deceased, his supposed age, the disease of which he died, defined as re- quired by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ... 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 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 tomh 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, 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
by section teu of chapter forty-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 forth with countersign it and transmit it to the clerk of the town for registration. The person to whom the permit is so given aud 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 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 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 person appointed to have the care of the cemetery or burial ground in which the interment is made. . . . Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose 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 by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Cause of death means the disease, or complication which causes death, not the mode of dying, e. g., heart failure, asphyxia, asthenia, etc. As principal cause name the disease causing death. As related causes, name earlier morbid conditions, if any, related to the principal cause and any important complication of the principal cause.
Statement of Occupation .- Precise statement of occupation is very im- portant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupation had been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, 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
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
M R-305
SUFFOL TZ
(County)
BOST
(City or Town)
Boston City Hosp
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY COPY OF MEDICAL EXAMINER'S CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No.
8617 92
(If death occurred in a hospital or institution, St.
give ita NAME instead of street and number)
2 FULL NAME
George E Hosker
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
201 Winthrop
St.
.Winthrop
Mass
(If nonresident, give city or town and State)
Length of stay: In hospital or institution.
(Before death)
(Specify whether)
years
months
3
day s.
In this community
yra.
mon,
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Oct 3, 1947
(Month)
(Day)
(Year)
19 | HEREBY CERTIFY that I have Investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.) Multiple fractured ribs
Bronchopneumonia
6 Age of husband or wife If allve years
7 IF STILLBORN, enter that faot here.
8
AGE .. 51
Years
4.
Months ... 2.5 .... Days
If less than 1 day Hours ...... Minutes
Usual
Machinist
Industry
10 or Business :
Ships
12 BIRTHPLACE (City)
(State or country)
Lynn, Mass
13 NAME OF
FATHER
George Hosker
14 BIRTHPLACE OF
FATHER (City)
Lynn, Mass
(State or country)
15 MAIDEN NAME
OF MOTHER
Mary Healy
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Lynn, Mass
17
Informant
(Address)
Wife
Relation, If any
Same
A TRUE COPY
ATTEST :
(Registrar of city or town where death occurred)
DATE FILED Oct 7. 1947 19
20 Acoldent, sulolde, or homlolde (specify).
Accidental
Date of coourrenoe.
9-30-47
19
Where did
989 Bennington St, E Boston
Injury ooour ?
(City or town and State)
Did Injury ooour In or about the home, on farm, In Industrial place, or In publlo place?
(Specify type of place)
Manner of
Injury
Fell out window
Nature of
Injury
While at work?
Was there an autopsy?
21 Was disease or Injury In any way related to occupation of deceased?
If so, spoolfy
(Signed)
R Ford
(Address)
Boston Mass
Dato
10-4 19 47
22
Winthrop
Winthrop
Place of Burlal, Cremation or Removal. (City or Town)
DATE OF BURIAL
Oct 6, 1947
19
23 NAME OF
FUNERAL DIRECTOR
R Kirby
ADDRESS
Boston ..... Mas.s.
Received and filled
OCT 1 1 1947
19
(Registrar of City or Town where deceased resided)
25m- (d) . 6-43-12056
- 1
1
PLACE OF DEATH
No. 3 SEX Male HUSBAND of (or) WIFE of 9 Oocupation : PARENTS occurred. (See Chap. 46, Sec. 12, G. L.) of the city or town in which the deceased resided as soon as possible after the close of the month in which the death resided in another city or town at the time of death should be made forthwith and transmitted on Form R-805 to the clerk Copies of returns of deathe recorded during the previous month which occurred in your city of town in case tue ucocabru 11 Soolal Security No.
4 COLOR OR RACE
White
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
Married
5a If married, widowed, or divorced
Annie V McDonald
(Give maiden name of wife in full)
(Husband's name in full)
(write the word)
(Usual place of abode)
-
(If U. S.
War Veteran,
speolfy WAR)
no
M. D.
301 A
+
Suffolk (County)
Winthrop (City or Town)
No.
61 Birch Rd.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
Registered No.
193
{ {If death occurred in a hospital or institution. { give its NAME instead of street and numher)
2 FULL NAME
Letitia A Damant
( If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Rasidenca. No.
61 Birch Rd.
(Usual place of abode)
......
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution
( Before death)
( Specify whether)
yeara
months
days.
in this community 20 yrs.
mos.
dayo.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
5 SINGLE
( write the word)
MARRIED
WIDOWED
or DIVORCEO
Single
5a If married, widowed, or divoroed
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 hera.
8
AGE
84. Years Months ... Days
if less than 1 day
Hours
Minutes
Usual
9 Occupallon :
At Home
Industry
10 or Business :
11 Social Security No.
None
12 BIRTHPLACE (City)
( State or country)
Unable to obtain
13 NAME OF
FATHER
William A Damant
14 BIRTHPLACE OF
FATHER (Clty)
(State or country)
England
15 MAIOEN NAME
OF MOTHER
Selvia Lyman
16 BIRTHPLACE OF
MOTHER (City)
St. John
(Siate or country)
New Brunswick
17 Richard, L Desho causeny
Informant
( Address)
271 Park St. West Roxbury
....
DATE OF BURIAL
Oct. 6
,47
22 NAME OF
FUNERAL DIRECTOR ...
Lowand bynotits
ADORESS
......
Received and Alad
CAT.5 1947
19
(Official Designation)
(Date of Issue of Permit)/
18 DATE OF
DEATH
October
4
( Sfonth )
(Day)
(Year)
19 | HEREBY CERTIFY,
That I altendad deceased from
march 7
1947. 10.
Oct 4
1947
I last saw
alive on
Oct. 3
, 1947.
death Is said to
hava occurred on tha data stated abova, at ...
4:30 am.
Immediate oause of death.
Generalized
Duration
arterial sclerosis
IMPORTANT
10 years
Dua to
Due to
Other conditions.
( Include pregnancy within 3 months of death)
Major findings:
Of oparations
none
Date of.
Of autopsy
none
What test confirmed diagnosis?
Clinical
IMPORTANT Physician
Underline the cause to which de.ith should he charged ... EINtically
20 Was disease or injury in any way ralated to oooupation of dacersed ? . h.u.
If so, spaolfy Q
( Signed)
"Byrdie vl sichi
a. M. O.
(Address) Wuchsof Mass Date Oct 4. 19 H]
Bosta
21 Forrest Hills Crematory
Place of Burial, Cremation or Removal.
(City_or Town)
I HEREBY CERTIFY that a satistaotory standard oartifioala of death was flad with me BEFORE the burial or transit parmit was Issued : Whater H. Male
(Signature of Agent of Board of Health nr other) 10/6/47
Malty
( Registrar)
100m- (g) - 1.45-15510
extract from the laws of Back of certificate. If deceased was a U. S. War Veteran, Q. L. Chap. 46, Section 10, requires physicians to insert a recital to that effeot. PARENTS
1
PLACE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
19.4%
Female
White
....
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 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 hy the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the hest 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 bundred and sixteen and nine- teen hundred and seventeen. G. L. Chap. 46, Sec. 10.
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