USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1948 > Part 7
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8
85
AGE
Years
6
Months.
23
Days
If less than 1 day
Hours
Minutes
Usual
9 Occupation :
Retired
Industry
Bookkeeper, Co.
Coal
, Island Creek
11 Soolal Security No ..
none
12 BIRTHPLACE (City)
Boston
(State or country)
Mass.
Major findings:
Of operations.
Date of
Underline the cause to which death should be charged sta- tistically.
Of autopsy
What test confirmed diagnosis ?
20 Was disease or injury in any way related to oooupation of deceased ?.........
If so, speolfy ..
Harry L. Campbell
(Signed)
538 High St.
Date
1/10, 48
M. 8.
(Address)
"Medford.
21 PLACE OF BURIAL,
CREMATION OR REMOVAL
winthrop, Winthrop
DATE OF BURIAL
Jan. 12,
1948
(City or Town)
19
A TRUE COPY.
22 NAME OF
FUNERAL DIRECTOR
Alfred B. Marsh
ADDRESS
174 winthrop St. Withrop
19
DATE FILED
Jan. 13 / 1948
vivil
19
Reoelved and filed
FEB 1/ 1948
(Registrar of City or Town where deceased resided)
50m- (b)-6-44-14607
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
PARENTS
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Maine
15 MAIDEN NAME
OF MOTHER
Sarah Gailey
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Maine
17
Mrs. Russell w. Bird Alteceany
(Address)
17 Brooks Park, Medford
ATTEST :
(Registrar of city or town where death occurred)
18 DATE OF
DEATH
January.
9
1948
have occurred on the date stated above, at
9 A
m.
Duration
Immedlate cause of death Chronic Vascular Myocarditis
?yrs
Due to.
Due to.
Other conditions.
Paralysis Agitans
8hrs
Physician
(Include pregnancy within 3 months of death)
13 NAME OF
FATHER
Daniel Rand
10 or Business :
PLACE OF DEATH
Middlesex
(County)
Registered No.
(If U. S.
War Veteran,
speolfy WAR)
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution:
(Before death)
(Specify whether)
5a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
That I attended deosased
(Cemetery)
C
-
RM R-302
1 ــتـ PLACE OF DEATH
Middlesex
(County)
Everett
(City or Town)
Whidden Hospital
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
EVERETT
(City or town making return)
16
(If death occurred in a hospital or institution, St. give ite NAME instead of street and number)
Genevieve Neville
(If deceased ie a married, widowed or divorced woman, give also maiden name.)
Pebble Ave.
Winthrop
St.
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
....
years
months
26 days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
Jan.
22,
1948
(Month)
(Day)
(Year)
19
-
11-18-49
ERTIFY,
19 .- 48
to
attended deceased
4'8"
19
I last saw h.
er
allve on
1-22
.4 Sdeath Is said to
have ooourred on the date stated above,
at
2
47A
m.
Duration 11-47
Due to ..
Gen Carcinomatosis
11-47
Carcinoma of Right Breast
Due to.
Other conditions
(Include pregnancy within 3 months of death)
Physician
Major findings: Advanced Carcinoma Of operations.
Rt. Breast
Date of
9-1946
Underline the catee to which death should be charged sta- tietically.
Of autopsy
clin. findings
What test confirmed diagnosis?
20 Was disease or injury in any way related to oooupation of deopased ?. no
If so, speolfy .....
J. F. Williams
(Signed)
M. D.
(Address)
Everett
Date
1-22 19 48
21 PLACE OF BURIAL,
Winthrop, Winthrop
CREMATION OR REMOVAL
(Cemetery)
1-2 6City or Town)
48
DATE OF BURIAL
19
22 NAME OF
FUNERAL DIRECTOR
Frank M. Donahue
ADDRESS
Reoelved and filed
FEB-18-1948
19
4.8
DATE FILED
5 SINGLE
(write the word)
MARRIED
single
WIDOWED
or DIVORCED
5a If married, widowed, or divoroed
HUSBAND of
(Give maiden name of wife in full)
(Husband's name in full)
years
If less than 1 day
Hours
Minutes
12 BIRTHPLACE (City)
(State or country)
Mass.
14 BIRTHPLACE OF
FATHER (City)
(State or country)
Mass.
15 MAIDEN NAME
OF MOTHER
Catherine Lynch
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass .
Relation, if any
(
A TRUE COPY.
ATTEST :
John M Tarrose.
(Registrar/of city or town where death occurred) 1-279 48
19
(Registrar of City or Town where deceased resided)
50m-(b)-6-44-14607
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-808 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased
No.
2 FULL NAME
(a) Residence. No.
(Usual place of abode)
3 SEX
.
4 COLOR OR RACE|
white
(or) WIFE of
6 Age of husband or wife if allve
7 IF STILLBORN, enter that faot here.
8
45
AGE
Years.
-
Months.
.Days
Usual
Cost Clerk
9 Ocoupation :
10 or Business :
11 Soolal Seourity No ..
011-01-9025
Boston
13 NAME OF
FATHER
Patrick
PARENTS
17
Informant.
(Address)
Mother
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
Industry
Beacon Oil Co.
hospital
(If U. S.
War Veteran,
specify WAR)
Registered No.
Charlestown
9-46
Immediate oause of death.
Carcinoma of Liver
RM R-302
of the city or town in which the deceased resided. (See Chap. 46, Sec. 12, G. L.) resided in another city or town at the time of death should be made forthwith and transmitted on Form R-802 to the clerk Copies of returns of deaths recorded during the previous month which occurred in your city or town in case the deceased -
PLACE OF DEATH
Suffolk (County)
Boston
(City or Town)
No.
Peter Bent Brigham Hospital
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.
916
(If death occurred in a hospital or institution,
give its NAME instead of street and number)
Agata Jeveli
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maideu name.)
(a) Residence. No ..
215 Pleasant
st
(If nonresident, give city or town and State)
Length of stay: In hospital or Institution.
(Before death)
(Specify whether)
years 1
months 22 days.
In this community
yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
F
4 COLOR OR RACE|
W
5 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
5ª If married, widowed, or divorced HUSBAND of
(or) WIFE of
(Give maiden name of wife in full)
Pat.sy .... Jeveli
(Husband's name in full)
6 Age of husband or wife if allve years
7 IF STILLBORN, enter that fact here.
8
AGE .... 69
Years
.Months.
Days
If less than 1 day
.Hours
Minutes
Usual
9 Occupation :
Housewife
Industry 10 or Business :
11 Social Security No.
Italy
12 BIRTHPLACE (City)
(State or country)
13 NAME OF
FATHER
DeNasi
14 BIRTHPLACE OF
Italy
FATHER (City)
(State or country)
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
17 Informant. (Address)
E Jevelj RelatioScinany
?
A TRUE COPY ATTEST.
(Registrar of city or town where death occurred)
Jan.30 .19 .. 48
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
(Month)
Jan.27/48
(Day)
(Year)
19 I HEREBY CERTIFY,
Dec. 5
47
to
That J attended deceased
Jan.27
19
I last saw h ..
er
.alive on
Jan. 27
19.48
death Is sald to
have occurred on the date stated above, at
7:10P
m.
Duration
Immediate cause of death.
Chronic duodenal ulcer with
bleeding
Due to
Due to.
Other conditions.
(Include pregnancy within 3 months of death)
Physician
Major findings :
Of operations
Date of.
should be charged sta- tistically.
Of autopsy
What test confirmed diagnosis ?.... Clinical
20 Was disease or injury In any way related to occupation of deceased ?.
If so, speolfy
(Signed)
N A Wilhelm
(Address)
P. Bent Brigham Hosph. 1-28,
M.
28
21 PLACE OF BURIAL,Winthrop Cem-Winthrop Mass.
CREMATION OR REMOVAL
(Cemets
Jan.30/48
DATE OF BURIAL
(City or Town)
19
22 NAME OF
E P Caggiano
FUNERAL DIRECTOR
ADDRESS
Winthrop Mass
Received and filed. MAR 9 1948 19
(Registrar of City or Town where deceased resided)
.19
Underline the cause to which death
PARENTS
50m-(b) -6-44-14607
1
(If U. S.
we votoran ,
speolfy WAR)
Mass.
Winthrop
(Usual place of abode)
St.
DATE FILED
2 Yrs
M R-301 A
2 FULL NAME
3 SEX
male
HUSBAND of.
(or) WIFE of
70
AGE
Years
Usual
9 Occupation:
11 Social Security No ..
12 BIRTHPLACE (City).
(State or Country)
13 NAME OF
FATHER
15 MAIDEN NAME
OF MOTHER
16 BIRTHPLACE OF
PARENTS
MOTHER (City).
(State or Country)
matisation sala De calculy supplica. Aus should be stated Manvil. fliDivinas should sidie ChoDe Of
14 BIRTHPLACE OF
FATHER (City)
(State or Country)
DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important
If deceased was a U. S. War Veteran, G. L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
See instructions and extracts from the laws on back of certificate.
4 COLOR OR RAGE
White
5 SINGLE
MARRIED
WIDOWED
(write the word)
married
Sa If married, widowed or divorced Frances G. Meville (Give maiden name of wife in full)
(Husband's name in full)
6 Age of husband or wife if alive years
7 IF STILLBORN, enter that fact here.
Months
Days
If less than 1 day
Hours
Minutes
Retired Wire Inspector
Industry
10 or Business:
Boston Fire Dept
none
East Boston
John & Douglass
Iseland
Elizabeth Me Laughlin
East Boston
17 Frances S' Douglass wike. )
Relatio
Informant (Address) 18 4 gladstone El ES
I HEREBY CERTIFY that 'a satisfactory standard, certificate of death was filed with, me BEFORE the burial gr transit permit was issued: Walter & Haber. (Signature of Agent of Board of Health of other) Health Offices 2/2/48
(Official Designation) (Date of Issue of Permity
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH
February
1 st
(Month)
(Day)
1948 (Ycar)
2x lan
1948
to
.
. 19
I last saw hem
alive on
have occurred on the date stated above, at
1.45 A
m.
Duration IMPORTANT 3 days 9 days
definite
Other conditions
Line
(Include pregnancy within 3 months of death)
Major findings:
hine
Of operations
Date of.
Of autopsy
What test confirmed diagnosis?
Blood N.P.N
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?
If so, specify
Köln 7 Cuelina
(Signed)
mass
(Address)
21
Holy Cross
Placeof Burian Cremation & Removal.
DATE OF BURIAL
Feb 4
19
48
22 NAME OF
FUNERAL DIRECTOR
Charles H. Treanor
ADDRESS
East Boston
Received and Filed FEB 2 1943
(Registrar)
100M-7-46-19068
+ Suffolk 8 14 Winthrop 1 City or Towny Winthrop Community Hospital No ... PLACE OF DEATH
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
Registered No.
18
CERTIFICATE OF DEATH
(If death occurred in a hospital or institution. ! give its NAME instead of street and number) S
James a. Douglass
(If deceased is a married, widowed or diyprced woman, gre also maiden name.)
(a) Residence. [No. (Usual place of abode)
184 Gladstone
Hospital
years
months
3
days.
In this community
72 yrs.
mos.
days.
Length of stay: In hospital or institution
(Before death)
(Specify whether)
PERSONAL AND STATISTICAL PARTICULARS
PHYSICIAN - IMPORTANT
(Was deceased a
U. S/War Veteran,
if d specify WAR)
St.
(If nonresident, give city or town and State)
Malden of Town)
. M. D.
Date 1 7 et
1948
19
19
HEREBY CERTIFY,
That I attended deceased from
17 am
48
31
Jan
. 19 48, death is said to
Immediate cause of death
Urengia
Gastro Intestinal Hemorrhage
Printable metastatic Carcinoma
مواليد٣
Due to
Boston 3/5/48
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall fortbwith, 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, furnisb 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 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 iu 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 tbis 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, he 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 body and remove it from a town, from one cemetery to another, or from one grave or tomh other than the receiving tomh 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 he issued until there shall have been delivered to such hoard, 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 he 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 seleetmen for the. purpose, shall upon application make the certificate re- quired of the attending physician. If death is caused by violence, the medi- cal examiner shall make such certificate. If such a permit for the removal of a human hody, not previously interred, from one town to another within the commonwealth cannot he obtained early enough for the purpose, the certificate of death made as ahove provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such hody shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such hody has been sooner obtained hereunder. If the death certificate contains a recital, as required
by section ten ui chapier 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 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 tbe 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 hy violence. If a medical examiner has notice that there is within his county the hody of such a person, he shall forthwith go to the place where the 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 board, from the clerk of the town where the body is to be buried or the funeral is to he beld, 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 sucb 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 by recognized disease unrelated to any forin of injury, have died without recent medical attendance or whose phy- sician is absent from home wben 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 been given up or changed on account of the disease causing death, report the usual occupation prior to illness. If the deceased had retired from business, report the usual occupation prior to retirement. Children not gainfully employed may he returned as at school or at home. For a woman wbose only occupation was that of home bousework, write housework. For a person engaged in domestic service for wages, how- ever, designate the occupation hy the appropriate terms, as housekeeper -- private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
M R-301 A !! L Suffolk
PLACE OF DEATH
(County)
Winthrop
(City or Town)
1
(a) Residence. Nó.
(Usual place of abode)
Length of stay: In hospital or institution.
Hosp.
(Specify whether)
3 SEX
Female White
4 COLOR OR RACE
5a If married, widowed, or divorced
HUSBAND of.
(or) WIFE
7 IF STILLBORN, enter that fact here.
8
56.
Months.
Days
Usual
9 Occupations ...
11 Social Security No ......
14 BIRTHPLACE OF
FATHER (City) .....
(State or country)
7-0955
PARENTS
16 BIRTHPLACE OF
MOTHER (City) ....
(State or country)
is very important. See instructions and extracts from the laws on back of certificate.
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION
information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
Industry
10 or Business :.
at home
5 SINGLE
(write the word)
MARRIED
WIDOWED Group
or DIVORCED
(Give maiden name of wife in full) "
E @ Antonio (Pisano
(Husband's name in full)
6 Age of husband or wife if alive. 56 .years
If less than 1 day Hours .Minutes
12 BIRTHPLACE (City)
(State or country)
Italy
13 NAME OF
FATHER Luigi Fabiano
15 MAIDEN NAME
OF MOTHER
Maria Casaletto
Italy
Į17 Frank Gesang for $ 3 cutacos De 8.3)
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ortransit permit was issued : Walter Breaker
HO
Signature of Age the Board of Health or other) Tef. 6/48. (Date of Issue of Permet)
(Official Designation)
MEDICAL CERTIFICATE OF DEATH
18 DATE OF
DEATH.
Feb 4 1948
(Month)
(Day)
(Year)
19 I HEREBY CERTIFY,
1127 14 :-
19
to 2/11/18
19
I last saw hi alive on
2/1/1, 2
19
death is said to
have occurred on the date stated above, at.
2.05P
.. m.
Immediate cause of death ...
Duration
IMPORTANT
Due to ................ Chuni Bronchites
Due to ..................
Other conditions.
(Include pregnancy within 3 months of death)
Im Jahr 200 00mano
Major findings: Of operations.
Date of.
Of autopsy.
What test confirmed diagnosis? Clerici
20 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
(Address) 23FILLEwith my
M. D.
28i Date 2/4
1
19 SF
1. миколая Оченьи
21
Place of Burial, Cremation or Removal.
(City of Town)
DATE OF BURIAL ..
pane
7
19 SP
22 NAME OF
Blanco Di Pietro
FUNERAL DIRECTOR ...
....
ADDRESS: 04 Marcial It PB
Received and filed. FEB 7 1943
19
(Registrar)
100m-2-'40-D-729-a
... ..
Boston
5/9/68
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.
19
§ (If death occurred in a hospital or institution, \ give its NAME instead of street and number)
2 FULL NAME ....
Cinna Marca Pisano
(If deceased is a )married, widowed or divorced woman, give also maiden name.)
3
Gutar Place
St. Caff Posten
(If nonresident. give city or town and state)
years
months
days.
In this community yrs.
mos.
days.
PERSONAL AND STATISTICAL PARTICULARS
No Ventured Immunity Sterk
St.
Registered No.
(If U. S.
War Veteran,
specify WAR) .........
....
...............
2/1/48
IMPORTANT PHYSICIAN
Underline the cause to which death should be charged sta- tistically.
Italy
Relation, if any
That I attended deceased from
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, definded as required 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.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or reinove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiv- ing 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 originalinterment, 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 in- sufficient, a physician who is a member of the board of health, or em- ployed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical 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 re- moval 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 necessary information which can be obtained as to the deceased, or as to tlie manner or cause of the death, which the clerk or registrar may require .- Chop. 114, Sec. 45, G. L., (Tercentenary Edition).
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