Town of Winthrop : Record of Deaths 1947, Part 73

Author: Winthrop (Mass.)
Publication date: 1947
Publisher:
Number of Pages: 544


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1947 > Part 73


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2 FULL NAME


Patrick Sloan


(If deceased is a married, widowed or divorced woman, give also maiden name.)


18 Pleasant Park Road


St.


(If nonreeldent, give city or town and State)


Length of stay : In hospital or Institution


(Before death)


(Specify whether)


years


monthe 22


days.


In this community


yrs.


moe.


22


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


M


4 COLOR OR RACE|


W


1


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Married


5a If married, widowed, or divorcedMary Henry


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband'e name in full)


6 Age of husband or wife If allve 60


years


7 IF STILLBORN, enter that faot here.


8


AGE ... 6.6 ..... Years


Months.


.Days


If less than 1 day Hours Minutes


Usual


9 Ocoupatlon :


Painter


Industry


10 or Business :


Building Construction Due to.


11 Social Security No.


12 BIRTHPLACE (City)


(State or country )


.reland


13 NAME OF


FATHER


Thomas Sloan


14 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


15 MAIDEN NAME


OF MOTHER


Nora Leahy


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


17 Informant (Address)


Wife


Relation, if any


A TRUE COPY.


ATTEST :


(Registrar of city or town where death occurred)


DATE FILED ct. 31/47


..... 19


18 DATE OF


DEATH


(Month)


Oct.28/47


(Day)


(Year)


19 I HEREBY CERTIFY,


O.at ...... 1.4


19.47


to.


Thes 1, attended


Oct.28


19


I last saw h ..... im


..... alive on


Oct.28/47


19


death Is sald to


have ooourred on the date stated above, at.


5:40PM


m.


Duration


Immedlate cause of death


Subdiaphragmatic abscess


I'Mo.


Due to.


Carcinoma of splenic flexure


of colon with perforation


1 Mo.


Physician


(Include pregnancy within 3 months of death)


upper lobs


Major findings :


Cecostomy


10-15-


Of operations


Sup.bilat.femoral vein intussuception


of


10-16/47


Of autopsy


What test confirmed diagnosis ?.... autopsy.


20 Was disease or Injury In any way related to oooupation of deceased?


If so, speolfy


(Signed)


W. T S Thorndike


(Address)


Mass. General Hospt


Date


19


47D.


21 PLACE OF BURIAL, Calvary


CREMATION OR REMOVAL


(Cemeter


DATE OF BURIAL


Oct. 31/47


(City or Town) 19


22 NAME OF


Charles H Treanor


FUNERAL DIRECTOR


ADDRESS


East Boston Mas's.


Reoelved and filed DEC 1 1947 .19


(Registrar of City or Town where deceased realded)


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-302 to the clerk of the city or town in which the deceased resided. (See Chap. 16, Sec. 12, G. L.)


1


PLACE OF DEATH


No.


(If U. S.


War Veteran,


speolfy WAR)


(a) Residence. No.


(Usual place of abode)


Winthrop Mass.


đeoeased


3


Other conditions


Lobar pneumonia, lt.


PARENTS


011-03-6097


Underline the cause to which death should be charged sta- tistically.


10-29


1 R-302


1


PLACE OF DEATH


SUFFOLK BOSTON


(City or Town)


No.


U.S.Marine Hospit


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


BOSTON


(City or town making return)


Registered No.


951223


(If death occurred in a hospital or institution, St. give its NAME instead of street and number)


2 FULL NAME


George F Darlow


(If deceased is a married, widowed or divorced woman, give also maiden name.)


27 Crystal Cove. Ave.


St.


(If nonresident, give city or town and State)


Length of stay : In hospital or Institution


(Before death)


(Specify whether)


years 1


months25 days.


In this community


yrs.


1


mos.


25


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


M


4 COLOR OR RACE!


W


5 SINGLE


MARRIED


WIDOWED


or DIVORCED


(write the word)


Married


5a If married, widowed, or divorsed


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


6 Age of husband or wife If allve 4.7.


years


7 IF STILLBORN, enter that fact here.


AGE


9


17


If less than 1 day Hours Minutes


oux Acute heart failure


post operative state exploratory


wouxxdaparotany 10-27-47)


3"Da's.


Industry


Merchant Seaman


10 or Business :


11 Soolal Security No ....


020-12.8.184


12 BIRTHPLACE (City)


(State or country )


Massachusetts


13 NAME OF


FATHER


George W Darlow


14 BIRTHPLACE OF


England


FATHER (City)


(State or country)


15 MAIDEN NAME


OF MOTHER


Alice Fiske


16 BIRTHPLACE OF


MOTHER (Clty)


(State or country)


Quebec


17


Informant


(Address)


Hospt Recordati Registrar


DATE OF BURIAL


Nov.


leter 1/47


(City or Town)


19


A TRUE COPY.


ATTEST :


(Registrar of-city Ør town where/death occurred) Nov.5


47


19


22 NAME OF


FUNERAL DIRECTOR


H S Reynolds


Winthrop Mass.


ADDRESS


Received and filed DEC 1 1947


19


(Registrar of City or Town where deceased resided)


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-302 to the clerk of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)


PARENTS


What test confirmsd diagnosis?


20 Was diseass or Injury in any way related to oooupation of deceased? ...


If so, speolfy


D S Cameron Sr.Surgeon


(Signed)


(Address)


U.S. Marine Hospt


Date.


11-1


19


21 PLACE OF BURIAL,


CREMATION OR REMOVAWinthrop Cem-Winthrop Mass.


Underline the cause to which death should be charged sta- tistically. No


Of autopsy


As above


Clinical autopsy


Physician


(Include pregnaney within 3 months of death)


Major findings: No abnormality except Of operations


as noted above


Date of


ëinä


I Day


Usual


9 Occupation :


Marine Engineer


18 DATE OF


DEATH


(Month)


Oct. 30/47


(Day)


(Year)


19 | HEREBY CERTIFY,


Sept 4


47


to


19


That I attendsd deceased from


Q.c.t. 3.0.


19 ..


.. 4.7


allve on


I last saw h


im


Oct.30


1947


death Is sald to


have occurred on the date stated above, at.


9:25AM


m.


Duration


Immedlate cause of death.


Acute pulmonary congestion and"


8


49


Years


.Months


Days


genia Parquette


(If U. S.


War Veteran,


speolfy WAR)


Winthrop Mass.


(a) Residence. No.


(Usual place of abode)


DATE FILED


...


M.P.


Other conditions.


Duodenal ulcer


A R-302


resided in another city or town at the time of death should be made forthwith and transmitted on Form R-308 to the clerk of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.)


1


PLACE OF DEATH


SUFFOLK BUSOTDEN


The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


BOSTON


(City or town making return)


9449


Registered No.


221


(If death occurred in a hospital or institution,


give its NAME instead of street and number)


2 FULL NAME


Max Silverman


(If deceased is a married, widowed or divorced woman, give also maideu name.)


284 River Road


St.


Winthrop


Mass.


(a) Residenoe. No.


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In hospital or institution.


(Before death)


(Specify whether)


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


M


4 COLOR OR RACE


W


5 SINGLE


(write the word)


Widower


MARRIED


WIDOWED


or DIVORCED


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 allve


ysars


7 IF STILLBORN, enter that faot here.


AGE


8 78 Years Months


.Days


if less than 1 day


Hours


.Minutes


Usual


9 Ocoupation :


Furniture Business


Industry


10 or Business:


For Himself


11 Social Security No.


None


12 BIRTHPLACE (City)


(State or country)


Russia


13 NAME OF FATHER Jacob Silverman


PARENTS


14 BIRTHPLACE OF


Russia


FATHER (City)


(State or country)


15 MAIDEN NAME


OF MOTHER


Sarah


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


17 Informant (Addresa)


E Burofsky Daughter


A TRUE COPY.


ATTEST :


(Registrar of city or, town where death occurred) Nov3/47


19


22 NAME OF


B Birnbach


FUNERAL DIRECTOR


ADDRESS


Dorchester


(City or Town) 19


DATE OF BURIAL


21 PLACE OF BURIAL.


CREMATION OR REMOVAL


oftmeter31/47


Ohel Jacob-Woburn Mass.


Physician Underline the cause to which death should be charged sta-


tistically.


What test confirmed diagnosis ?.


Clinical test


No


20 Was disease or injury In any way related to oooupation of deceased?


If so, speolfy.


L Wolsky


(Signed)


Beth Israel hospt


Date.


10-30- 47.


(Address)


Pulmonary emphysema


Other conditions.


(Include pregnancy within 3 months of death)


Major findings :


Of operations


Date of


Duration


Immedlate oause of death


Arterio sclerotic heart disease


3 Yrs


Due to.


Due to.


19 I HEREBY CERTIFY,


47


That


battendo dooresed from


19


I last saw h ...


im alive on


Oct. 30


47


....


19


death is sald to


have ooourred on the date stated above, at


3:10₽


m.


18 DATE OF


DEATH


(Month)


Oct.30/47


(Day)


(Year)


Celia Waldman


Sept.


9


19


to.


(If U. S.


War Veteran,


speolfy WAR)


months


52


days.


In this community


yrs.


mos.52


days.


years


(City or Town)


Beth Israel Hospital


No.


St.


Received and filed


DEC 1 1947


19


(Registrar of City or Town where deceased resided)


50m. (b) -6-44-14607


DATE FILED


Of autopsy


None


.



-301 A


1


PLACE OF DEATH


( County) Winthrop (City or/Town) 10 Wave Way Live. No.


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. 225


Registered No.


S (If death occurred in a hospital or institution.


· give its NAME instead of street and numher)


2 FULL NAME Jussie Ferar


( If deceased is a married, widowed or divorced woman, give also-maiden name.)


(a) Residenca. No.


10 Wave Day (Ive ..


(Usual place of abode)


Length of stay: In hospital or Institution


( Before death)


( Specify whether)


year's


months days.


In this community


30 yrs.


mos.


dayı.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE|


Temati white,


5 SINGLE/


( write the word)


widow


Sa If married, widowed, or divorced HUSBANO of


(or) WIFE of


Hat(Give maiden name of wife in full)


ran Lerar


( Husband's name in full)


6 Age of husband or wife if alive yeers


7 IF STILLBORN, enter that fact here.


8 AGE 63 Years Montha Days


If less than 1 dey


Hours


Minutas


Usual


9 Occupation :


Hausework


Industry


10 or Business :


at home


11 Social Security No.


12 BIRTHPLACE ( City)


( Siste or country)


13 NAME OF


FATHER


abraham Luften


14 BIRTHPLACE OF


FATHER (City)


(State or country)


lustrian


15 MAIDEN NAME


OF MOTHER


Hannah learned


16 BIRTHPLACE OF


MOTHER (City)


(State or country)


Impéria


17 Informent? (Address) 100 Pure y XX


Relation, If any


I HEREBY CERTIFY that a satisfactory standard oartifioata of death was filled with me BEFORE the burial or transit permit was larued:


-


( Signature of Agent of Board of Health Or other) 1 Really Que 11/8/47


(Omclal Designation) ( Date of Issue of Permit)


18 DATE OF


DEATH


november


7/


19.47


( Year)


( Month )


( Day)


19 1 HEREBY CERTIFY,


Thet I attended deosased from


e


1941. to


200. 7. 1947


1


I last saw h ........... . alive on


www.7


. 19 /f /death Is sald to


have occurred on the date stated above, at.


8:10 Pm


Immediate ceuse of death Coronary Occlusion


Due to


Polycy


Due to


Hypertension


IMPORTANT 1 day. 12 yrs. 12 yrs.


Other conditiona.


(Include pregnancy within 3 months of death)


Mejor findings: Of oparetiona


Oste of


Of eutopsy


Whet test confirmed diagnosts?


Clinical


IMPORTANT


Physician Underline the cause to which death should be charged vt .. tistically


20 Was disease or injury in any way related, to oooupallon of deceased ?


( Signed )


(Address) 26 Wave Way Que


Date Lau. 7. 1947


Place of Burial, Cremation or Removal.


OATE OF BURIAL


·


(City or Town)


1947


22 NAME OF


FUNERAL DIRECTORY


Wartheraten & 1 -2


.....


ADORESS


1


Received and filed NOV 1 2 1947


..... 19


(Registrae)


100m. (g) - 1-45.15510


extracts from the laws on 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 effect. PARENTS


1


MEDICAL CERTIFICATE OF DEATH


MARRIED


WIDOWED


or DIVORCED


St.


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran.


if so specify WAR)


NO


St.


(If nonresident, give city of town and State)


Duration


Hitlerman M. D.


ralph teraz 6


cannot use


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 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 hody 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, 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 he 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 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 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 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 practicc:


(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 hy recognized disease unrelated to any forin 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 be 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 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 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 ()F DISCHARGE RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


+


R-301 A


1


PLACE OF DEATH


Suffolk (County) Winthrop (City or Town) No. . 25 North Ave. Winthrop


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.


226


St.


§ (If death occurred in a hospital or institution,


give its NAME instead of street and nun,ber) )


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR) . No


(a) Residence.


No.25 North Ave.,


(Usual place of abode)


St.


"(lf nonresident, give city or town and State)


In this community


35 yrs.


mos.


days.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX Female


4 COLDR OR RACE


White


5 SINGLE (write the word)


MARRIED


WIDOWED


or DIVORCED


Married


5a If married, widowed or divorced


HUSBAND of.


(or) WIFE of


(Give maiden name of wife in full)


George J. Hutchinson


(Husband's name in full)


6 Age of husband or wife if alive


72


years


7 IF STILLBORN, enter that fact here.


8


AGE


73


Years


3


Months


29


Days


If less than 1 day


Hours


Minutes


Usual


9 Dccupation:


At home


Industry


10 or Business:


Housewife


11 Social Security No.


None


12 BIRTHPLACE (City)


(State or Country)


Dublin, Ireland


13 NAME DF


FATHER


Stephen Howard


14 BIRTHPLACE OF


FATHER (City)


(State or Country)


Ireland


15 MAIDEN NAME


OF MOTHER


Mary Anne Fitzsimmons


16 BIRTHPLACE DF


MDTHER (('ity)


(State or Country)


Ireland


17 George J. Hutchinson Husband Informant (Address) 25 North Ave., Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with gle BEFORE the burial orftransit permit wos issued: Walter . Ballet (Signature of Agent of Board of Her father) Valet officer 11/13/47


iknaton) (Date of Issue of Perint)


18 DATE DF


DEATH


mn.


(Month)


11,1947


(Ycar)


19


I HEREBY CERTIFY,


That I attended deceased from


47.to


. 19


19


.


I last saw h


alive on


197, death is said to


have occurred on the dale stated above, at


m.


Immerthe cause of death ly Emlilian


Due to


7


1


eduction


Due to


Other conditions


(Include pregnancy within 3 months of death)


Major findings: Df operations


Date of


Of autopsy


What test confirmed diagnosis?


20 Was disease or injury in any way related to occupation of deceased? If so, specify


(Signed)


M. D.


(Address)


21Winthrop Cemetery, Winthrop


Place of Burial, Cremation of Removal.


(City or Town)


DATE OF BURIAL


November 14th


19


47


22 NAME DF


FUNERAL DIRECTOR


Richard C. Kirby


ADDRESS


Boston, Massachusetts


19


Received and Filed NOV 17 1947 (Registrar)


Duration IMPORTANT


IMPORTANT


Physician Underline the cause to which death should be charged sta- tistically.


See 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-7-46-19068


2 FULL NAME


Jane F. Hutchinson. ( Howard. )


(If deceased is a married, widowed or divorced woman, give also maiden name.)


None


Length of stay: In hospital or institution


(Before death)


(Specify whether)


years


months


days.


(Day)


10.50


Date 1/ 1/2- 19


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 hy the physician or othcer 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 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 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 hury 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 board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody 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 he, a satisfactory written statement containing the facts required by law to he returned and recorded, which shall be accompanied, in case of an original " interment, 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 body, 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




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