USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1949 > Part 15
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Russia
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation
Was autopsy performed?
What test confirmed diagnosis ?.
Clinical
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
N A Wilhelm
M. D.
(Address)
(Signed).
P ... Bent Brigham Hospt
19.49
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
March 24/49
19
21
Informant
(Address)
Jack ... Burstein
Son
7 NAME OF
FUNERAL DIRECTOR
B Birnbach
ADDRESS Dorchester Mass.
Received and filed MARY 9 1949 MAY 9 19
(Registrar of City or Town where deceased resided)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
Winthrop Cem-Winthro Mass.
50m-(e)-10-48-24658
Copics of returns of deaths which occurred in your city or town in case the deccased resided in another city or town at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
ANTE
Due To
CEDENT (b)
CAUSES
Acute myocardial
infarction
Due To
(c)
Coronary arterio sclerosis
Medical Examiner Declined
10a If married, widowed, or divorced
HUSBAND of.
Grace Thaler
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Cardiac tamponade
m.
A R-302 1
CERTIFICATE OF DEATH
J(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
(Was deceased a
U. S. War Veteran,
if so specify WAR).
(a) Residence. No. (Usual place of abode)
Winthrop Mass.
(Registrar of City or Town where death, occurred)
19.49 DATE FILED March 28/49
19
....
A TRUE COPY.
ATTESAwhat
17 NAME OF FATHER Nathan Burstein
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible
PLACE OF DEATH
Suffolk (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
REVERE
(City or town making return) ...
47
No. Revere Mem. Hospital
(If death occurred in a hospital or institution, St. \ give its NAME instead of street and number)
2 FULL NAME ..
Frank DiVita
(If deccased is a married, widowed or divorced woman, give also maiden name.)
88 Locust
St.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death
.years.
months.
1
.days. In place of residence .. +O .... years
.months
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
March
24
1949
(Month)
(Day)
(Year)
8 SEX
Male
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
4 I HEREBY CERTIFY,
That I attended
deccased
from
Harch ... 23 49 19
to March .24
49
10a If married, widowed, or divorced
HUSBAND of
Rose. Lampasona
(Give maiden name of wife in full)
I last saw
him
..... alive on
March 24 1949
death is said to
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Coronary thrombosis
TWEEN ONSET ANO DEATH
11 IF STILLBORN, enter that fact here.
12
24 hrs ,AGE ... 1.Years
& .. Months
Days
If under 24 hours
.Hours .
Minutes
13 Usual
Occupation :.
Jeweler
(Kind of work done during most of working life)
14 Industry
or Business:
Jewelry
15 Social Security No.
Nane
16 BIRTHPLACE (City).
(State or country)
Italy
Palermo
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
Date of operation
. Was autopsy performed?
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
Francis Licata
(Signed).
81 Revere St. Date 3/24
6
Winthrop
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
March 26,
49
21
Informant Vincent DiVita
(Address)
56, Park Ave
Winthrop
7 NAME OF FUNERAL DIRECTOR. Ernest P. Caggiano
ADDRESS
147 Winthrop St., Winthrop
Received and filed.
APR -1-4-49.49
19
A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED April 8, 1049 ...
(Registrar of City or Town where deceased resided)
PARENTS
17 NAME OF
FATHER
Carmine DiVita
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Anna Palazzalo
20 BIRTHPLACE OF
MOTHER (City)
Palermo
(State or country)
Italy
50m-(e)-10-48-24658
Due To (c)
with Posterior Myocardial
ANTE
Due To
infarction
CEDENT (b)
CAUSES
have occurred on the date stated above, at 2:30 a .m.
INTERVAL BE-
9 COLOR OR RACE
(Was deceased a U. S. War Veteran, if so specify WAR) No
(a) Residence. No. (Usual place of abode)
Registered No.
1 R-302 1 Revere (City or Town)
(Address) Revere Winthrop
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)
50m-(e)-10-48-24658
PLACE OF DEATH
Suffolk (County) Chelsea
(City or Town)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Chelsea
(City or town making return) 198
Registered No.
43
Chelsea Memorial Hospital
f(If death occurred in a hospital or institution,
St. [ give its NAME instead of street and number)
(If deceased is a married, widowed or divorced woman, give also maiden name.) 207 Pleasant St.
St.
(If nonresident, give city or town and State)
8
Length of stay: In place of death
......
.years.
21
months
days. In place of residence.
.years.
months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Mar.31,1949
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased
from
Mar.10
47
Mar.31
49
19
49
I last saw
h
alive on
19
death is said to
10 p.
m.
INTERVAL BE- TWEEN ONSET AND DEATH 2 yrs
11 IF STILLBORN, enter that fact here.
12
66
10
17
If under 24 hours
.Hours ...
Minutes
13 Usual
Occupation:
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Portugal
17 NAME OF
FATHER
John ~. Sousa
Major findings;
Cancer of Tiver, pancreas Of operations ... bladder ...... peritoneum,mesente
Date of operation
3/12/49
Was autopsy performed? no
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? If so, specify.Frderick Urnsteen
(Signed).
131 Mash. Ave, Chop.cea
6/1/19
QD.
(Address)
Holy Cross, Huluen, Mass.
Town) DATE OF BURIAL.
7 NAME OF
Richard C.Kirby
FUNERAL DIRECTOR
ADDRESS
Doston,Mass.
Received and filed.
MAY 3 .1949
19
(Registrar of City or Town where deceased resided)
PARENTS
Y 18 BIRTHPLACE OF
FATHER (City) ..
(State or country)
Portugal
19 MAIDEN NAME
OF MOTHER
ouise Soares
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
.Portugal
(Address)
21
Mrs, Beatrice Thomas-dau.
207 Pleasant St. Winthrop
A TRUE COPY
ATTEST:
graph & Tyrell
(Registrar of City or Town where death occurred)
DATE FILED
Apr.3,1949
19
1
MARRIED
WIDOWED
or DIVORCED
.1d.
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Joseph C.
(Husband's name in full)
have occurred on the date stated above, at
DISEASE OR CONDITION DIRECTLY LEADINGarcinomatosis TO DEATH (a)
ANTE Due To "erminal broncho
CEDENT (b)
CAUSES
pneumonia
das
Due To (c)
er
19
Mär.31
8 SEX
Female
9 COLOR OR RACE
White
10 SINGLE
(write the word)
(Was deceased a
U. S. War Veteran,
Winthro specify WAR).
(a) Residence. No. (Usual place of abode)
Mary A.Bettencourt
2 FULL NAME.
No.
[ R-302 1
AGE.
Years
Months
.Days
housewife
OTHER
SIGNIFICANT
CONDITIONS
6 Place of Burial or Cremation Apr. 4,1949 19
R-301A 1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
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. 49
No. 125 Cliff Avenue B
... ...
J(If death occurred in a hospital or institution. St. \ give its NAME instead of street and number)
2 FULL NAME George Barron Barron
(If deceased is & married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
7 ..... Woodside Park
St
(If nonresident, give city or town and State)
Length of stay: In place of death. ..... years .. 1 months. .days. In place of residence .
5 .years .. months .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
male
white
MARRIED
WIDOWED
or DIVORCED
married
4 I HEREBY CERTIFY,
That I attended deceased from
.. + July
19
I last saw h. w .alive on.
have occurred on the date stated above, at 4.00 Pm.
INTERVAL BE- TWEEN DNSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE84
.Years
1 Months 20 Days
If under 24 hours
Hours .. . Minutes
13 Usual
Occupation :
retired
(Kind of work done during most of working life)
14 Industry
or Business:
real estate broker
16 BIRTHPLACE (City) ..
(State or country)
England
17 NAME OF
FATHER
James Barron
18 BIRTHPLACE OF
FATHER (City)
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Elizabeth
?
20 BIRTHPLACE OF MOTHER (City) (State or country) England
21
Informant
(Address)
7 Woodside Park Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed, with me BEFORE the burial or transit permit was issued: Walter & Makers
(Signature of Agent of Board of Health or other)
Sealle Officer (Official Designation) (Date of Issue of Permit)
4/12/49
TIONS ₹ RTIFICATE ing DEATH enter an one r each and (c)
s not mean lying, such e, asthenia. the disease, ons which
conditions. rise to the a) stating ng cause
s contrib- ath but not disease or ing death.
100M-(D)-10-48-24858
6
Mount Hope Dorchester Place of Burial or Cremation (City or Town)
DATE OF BURIAL April 12 .1949 9
7 NAME OF
alfred B. Manale
ADDRESS 174 Winthrop St, Winthrop, Mass
Received and filed 19
APR 18 1949
(Registrar)
PARENTS
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
no
Charles Liberman M. D. (Address) 26 Waneway and Date CH7 10.1949
10 grs
Major findings:
Of operations.
Date of operation.
Was autopsy performed? Clinical & Lab
What test confirmed diagnosis?
Coronary artery heart
OTHER
SIGNIFICANT
CONDITIONS
Hypertension
ANTE CEDENT (b) CAUSES
Due To
Due To
Chronic Nephritis
(c)
10a If married, widowed, or divorced
HUSBAND of
Harriet Brewster Tasker
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Urena
2 wks
5 years 5 yes 15 Social Security No ... none
Plymouth
Dichase
1949
(Year)
48. to .. april 10 19 89
quit /0, 1949, death is said to
3 DATE OF DEATH .. april (Month)
10
(Day)
PHYSICIAN - IMPORTANT (Was deceased a
U. S. War Veteran,
if so specify WAR)
NO
Mrs. George B. Barron
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 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.
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, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate 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 section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or 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 inter- ment, 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 physician 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 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 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 registra- tion. 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 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 persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received 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 follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, 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 occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING ORGANIZATION AND OUTFIT
SERVICE NUMBER
R-301A 1
PLACE OF DEATH
Suffolk (County)
Boston 5/5/49
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.
50
J (If death occurred in a hospital or institution. St. [ give its NAME instead of street and number) No. Winthrop Community Hospital
Winston Mary
(If deceased is a married, widowed or divorced woman, give also maiden name.)
53 St Andrew Road
East Boston Mass St.
(If nonresident, give city or town and State)
Length of stay: In place of death . ... .... years.
months. 5 days. In place of residence 68years
.months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
female
9 COLOR OR RACE
white
10 SINGLE
MARRIED
WIDOWED
or DIVORCESingle
4 I HEREBY CERTIFY,
That I attended deceased af 15 19
49
I last saw hal alive on
have occurred on the date stated above, at
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
6.8 Years
00
Months
22Days
If under 24 hours
.Hours . ... Minutes
13 Usual
Occupation : At home
(Kind of work done during most of working life)
14 Industry
or Business:
none
15 Social Security No. none
16 BIRTHPLACE (City) East ... Boston (State or country) Mass
17 NAME OF FATHER James Winston
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Cummings
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
6
Holy Cross Malden
Place of Burial or Cremation (City or Town)
DATE OF BURIAL ..
April .... 18 1949
19
7 NAME OF
FUNERAL DIRECTOR
Richard C. Kirby
ADDRESS East Boston
Received and filed.
APR 20 1949
(Registrar)
1940
Heavy Heraus
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations
0
Date of operation
Was autopsy performed?
What test confirmed diagnosis?
0
5 Was disease or injury in any way related to occupation of deceased ?.
If so, specify ...
(Signed)
thad Ofegan
M. D.
(Address) 670 9 wat ory th
/4/13
1949
100M-(D)-10-46-24666
(Month)
15 (Day)
1949 (Year)
19 from afind 10 49 to 4/15 19 death is said to
9. 301
10a If married, widowed, or divorced HUSBAND of. (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADINGO
TO DEATH (a)
Cerebral demange 50gs
ANTE CEDENT (b) CAUSES
Due To
conditions, rise to the a) staling ng cause
s contrib- ath but not disease or ing death.
s not mean lying, such e, asthenia, the disease. ons which
TIONS RTIFICATE ing DEATH enter an one r each and (c)
(a) Residence. No. (Usual place of abode)
PHYSICIAN - IMPORTANT
Į ‹Was deceased a
U. S. War Veteran,
if so specify WAR)
No
2 FULL NAME ..
Winthrop (City or Town)
Registered No.
John E. Winston brother
21 Informant (Address) 53 St Andrew Rd East Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial ør transit permit was issued: Walter & Bakery
(Signature of Agent of Board of Health or other)
4/16/49
(Official Designation) (Date of Issue of Permit)/
(write the word)
3 DATE OF
DEATH
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 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.
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, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate 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 section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which Shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or 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 inter- ment, 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 physician 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 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 removal of such body has been sooner obtained hereunder. If the
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