Town of Winthrop : Record of Deaths 1948, Part 7

Author: Winthrop (Mass.)
Publication date: 1948
Publisher:
Number of Pages: 524


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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