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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