Town of Winthrop : Record of Deaths 1950, Part 31

Author: Winthrop (Mass.)
Publication date: 1950
Publisher:
Number of Pages: 532


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 31


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Informant


(Address)


Roxbury, Mass.


[(If death occurred in a hospital or institution,


(Was deceased a U. S. War Veteran, if so specify WAR) WWI


(or) WIFE of.


(Husband's name in full)


F


DATE OF ENTERING MILITARY SERVICE 5-27-18 DATE OF DISCHARGE 4-3-19 Hon RANK, RATING Pvt. ORGANIZATION AND OUTFIT 8th Co. 2nd Bn 151st Depot Brigad


SERVICE NUMBER 3191375


PLACE OF DEATH


Suffolk (County)


Mass


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


93


No. Winthrop Convalescing Home Essie Mae (Parker) Kinnear (If deceased is a married, widowed or divorced woman, give also maiden name.)


j(If death occurred in a hospital or institution.


St. } give its NAME instead of street and number)


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR) - East Boston, Mass.


(If nonresident, give city or town and State)


Length of stay: In place of death .. years


4


months days In place of residence / O .years months .. days.


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR OR RACE


(write the word)


Female


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCEMarried


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


George


Edmund Kinnear


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


75


12


AGE


Years


5


Months


2I


Days


If under 24 hours


Hours


Minutes


13 Usual


Occupation :


Housewife


(Kind of work done during most of working life)


14 Industry or Business:


15 Social Security No.


16 BIRTHPLACE (City)


Shelburne


(State or country) Nova Scotia


17 NAME OF FATHER William Parker


PARENTS


19 MAIDEN NAME OF MOTHER Sophia Smith


5 Was disease or injury in any way related to occupation of deceased? If so, specify A1. Schwartz M. D. (Signed) 20 BIRTHPLACE OF 19 Prisecato Ir Epul Date 6/1 50 MOTHER (City) unable to obtain


Woodlawn Cemetery EverettMass 6


Place of Burial or Cremation (City or Town)


DATE OF BURIAL June 12 150


7 NAME OF FUNERAL DIRECTOR. Victoria A. Reynolds


ADDRESS 180 Winthrop St. Winthrop


Received and filed. 19


JUN 1 4 1950


(Registrar)


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


June


(Month)


9


1950


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


april 1.


1950


to


June 9


I last saw her


.. alive on


June 9


death is said to


have occurred on the date stated above, at


10300 m.


INTERVAL BE-


DISEASE OR CONDITION


DIRECTLY LEAD


TO DEATH (a)


Cicuta Pulmonaz Elena


TWEEN ONSET AND DEATH 1 day


ANTE


Due To


Chronic Myocarditis


CEDENT (b)


CAUSES


Due To Chronic Invaliquant hypertrusion malignant


1 yr


OTHER


SIGNIFICANT


CONDITIONS


1 yr


Major findings: Of operations ..


Date of operation.


Was autopsy performed?


What test confirmed diagnosis?


1.


18 BIRTHPLACE OF FATHER (City) Unable to obtain (State or country) Nova Scotia


(State or country) Nova Scotia


21 Informant Mrs. Pauline Baker


(Addr 55 Edghill Rd Winthrop, Mass


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial pr transit permit was issued:


Walter - Kalles. (Signature of Agent of Board of Health or other)


Thealth (Official Designation) (Date of Issue of/Permit)


ature Affecte 6/12/50


TRUCTIONS FOR L CERTIFICATE


n giving OF DEATH not enter e than one e for each , (b) and (c)


's does not mean e of dying, such failure, asthenia. cans the disease, lications which cath.


bid conditions. iving rise to the use (a) stating derlying cause


ditions contrib- the death but not o the disease or causing death.


/50M (8)-12-49-900722


Boston 7/5/50


M R-301A 1 Winthrop (City or Town)


2 FULL NAME ..


23I Princeton


St.


Registered No.


(a) Residence. No. (Usual place of abode)


(Day)


1950


1gr


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 ane, 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, Scc. 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 cxhume 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 centetery, 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 hy violence, the medical 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 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 thercafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner of cause of the death, which the clerk' or registrar may require. - Chap. 114, Sce. 45. G. L., (Tercentenary Edition).


Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 1945.


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 deathsonly 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 dore 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


X


PLACE OF DEATH


SUFFOLK (County)


BOSTON. (City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF


BOSTON


(City or town making return


Registered No.


5005


CERTIFICATE OF DEATH


Massachusetts General Hospital


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


2 FULL NAME


Thomas Wood


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


9 Johnson Avenue


Winthrop, Mass.


St.


(If nonresident, give city or town and State)


Length of stay: In place of death.


.. years ..


months.


3


days. In place of residence.


2.3.years


months.


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Malel


White


9 COLOR OR RACE


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED Married


4 I HEREBY CERTIFY,


That I attended deceased from


June 7


19.5.0


to


June


.9


15.0


I last saw h.


.im .. alive on.


June ..... 9 19 ....... 5death is said to


have occurred on the date stated above, at


9:35 Am.


INTERVAL BE- TWEEN ONSET AND DEATH


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Pulmonary ..... embolism 2 wks2


11 IF STILLBORN, enter that fact here.


AGE


45


Years


7


Months.


10


Days


If under 24 hours


Hours


Minutes


13 Usual


Occupation:


(Kind of work done during most of working life)


14 Industry


or Business:


Industrial lighting


15 Social Security No.


16 BIRTHPLACE (City)


(State or country)


Lynn, Mas s.


17 NAME OF


FATHER


Henry L. Wood


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Worcester, Mass.


19 MAIDEN NAME


OF MOTHER


Nettie L. Gardiner


20 BIRTHPLACE OF


MOTHER (City)


Herkimer., ..... N. Y ...


(State or country)


21


Informant


WIFE


(Address)


A TRUE COPY


ATTEST:


(Registrar of City or Town where death occurred)


Received and filed


JUN 1 9 1550


.19.


(Registrar of City or Town where deceased resided)


PARENTS


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


(Signed).


MASS. GEN. HOSP . Date


C. I


Clay


M. D.


6-9-60


6


Spring ..... St ........ Cem.


Place of Burial or Cremation


June 12, 1950


19


Essex (City of


25m-(b)-11-49-900,475


No.


(a) Residence. No.


(Usual place of abode)


3 DATE OF


June 9, 1950


DEATH


CEDENT (b)


Due To


(c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations.


None


(Address)


DATE OF BURIAL.


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


CAUSES


heart disease


ANTE


Arteriosclerotic


9 yrs


coronary occlusions


old


Date of operation


.Was autopsy performed ?.


yes


What test confirmed diagnosis ?.


Autopsy


Purchasing Agent, (ret)


10a If married, widowed, or divorced


Alice


.Haskell


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


M R-302 1


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


7 NAME OF


FUNERAL DIRECTOR


H ....... L ....... Richardson


ADDRESS


Lynn


DATE FILED


June 12 1950


19


(Was deceased a


U. S. War Veteran.


if so specify WAR)


(Month)


(Day)


(Year)


M R-302 1


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 WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


25m-(b)-11-49-900,475


No.


2 FULL NAME


(Usual place of abode)


Length of stay: In place of death


.years.


3 DATE OF


DEATH


DISEASE OR CONDITION


DIRECTLY LEADING


ANTE


CEDENT (b)


(c)


OTHER


SIGNIFICANT


CONDITIONS


Date of operation


6-6-50


(Signed).


(Address) P. B. Brigham


6


DATE OF BURIAL.


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


CAUSES


of stomach


June


11, 1950


(Month)


(Day)


(Year)


That I attended


deceased


from


19


50


I last saw him


alive on


June 11 19


Seth is said to


have occurred on the date stated above, at


12:40P


m.


INTERVAL BE-


TWEEN ONSET AND DEATH


11 IF STILLBORN, enter that fact here.


12


AGE


Years


66


11


Months.


12 Days


If under 24 hours


Hours.


Minutes


13 Usual


Occupation:


Plumber


14 Industry


or Business


P.I. Ruby Plumbing Co.


15 Social Security No.


012-07-7861


16 BIRTHPLACE (CityBoston(SUFFOLK) Mass. (State or country)


17 NAME OF


FATHER


John Snyder


18 BIRTHPLACE OF


FATHER (City) ...


NovaScotia, ..... Canada


(State or country)


19 MAIDEN NAME


OF MOTHER


Mary Fraser


20 BIRTHPLACE OF


MOTHER (City)


Nova Scotia


Winthrop ..... Cemetery.


Winthrop


(State or country)


Canada


Place of Burial or Cremation


June zo1930


19


7 NAME OF


FUNERAL DIRECTOR


A. B. Marsh


ADDRESS


174 Winthrop St.


Received and filed


JUIN 26 1950


19


(Registrar of City or Town where deceased resided)


The Commonwealth of Massachusetts 0


EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS !! COPY OF


BOSTON


(City or town making return)


Registered No.


5151.96


CERTIFICATE OF DEATH


(City or Town) Peter Bent Brigham Hospital. A John 'Snyder


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


(a) Residence. No.


953 Shirley


St. .


Winthrop, Mass.


(If nonresident, give city or town and State)


35


months.


31


.days. In place of residence


.years


months.


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


White


9 COLOR OR RACE


10 SINGLE


(write the word)


MARRIED


WIDOWED


DIVORCED Married


4 I HEREBY CERTIFY,


May


11


19 .. 50


to


June


11


Gastro intestinal


TO DEATH (a)


hemorrhage


3 mos


Due To


Ulcertative lesion


Due To


Abdominal ..... tumor


with metastases


mos


Major findings:


Of operations.


Abdominal exploration


Was autopsy performed?


6-11-5


What test confirmed diagnosis ?.


Autopsy


5 Was disease or injury in any way related to occupation of deceased?


If so, specify


N. A. Wilhelm


M. D.


PARENTS


21


Informant


(Address)


John Snyder, son


A TRUE COPY


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED


June 15,1950


19


-


(or) WIFE of


(Husband's name in full)


1


PLACE OF DEATH


SUFFOLK (County)


BOSTON


jof 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)


10a If married, widowed, or divorced


HUSBAND of


Mary Gibbons


(Give maiden name of wife in full)


(Kind of work done during most of working life)


mos


Date 6-11-500


RM R-301A 1


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town) 200 Lincoln St. No.


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH


To be filed for burial permit with Board of Health or its Agent.


Registered No.


9.7


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


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


200 Lincoln St


St.


(If nonresident, give city or town and State)


Length of stay: In place of death


years


months


days. In place of residence


1


years ..


months


days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


June 13 1950


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


Jan.


50


to ..


June 9.


19


50


HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


74.


AGE


4years


Months


Days


If under 24 hours


Hours . Minutes


13 Usual


Occupation:


Retired Compositor


(Kind of work done during most of working life)


14 Industry


or Business:


Printing


15 Social Security No. .


023-07-7642


16 BIRTHPLACE (City)


(State or country)


Massachusetts


OTHER


Arteriosclerosis with


CONDITIONS Coronary occlusion -


1 hour


Major findings:


Of operations.


Cystectomy-


Date of operation aber. 1919.


.Was autopsy performed?


What test confirmed diagnosis?


5 Was disease or injury in any way related to occupation of deceased ?. no.


If so, specify .....


(Signed) walter P. Ker


(Address) 262 Beacon ST, Date 6/18


M. D.


1950.


6 New Calvary Place of Burial or Cremation


Boston (City or Town)


DATE OF BURIAL


June 06, 1950


chut maly


ADDRESS


Winthrop Massachusetts


.. 19


JUN 14 1950


(Registrar)


MaTě


9


white


QR RACE


10 SINGLE


(write the word)


MARREOwed


WIDOWED


or DIVORCED


10a If married, widowed, or divorced


Annie McDonough


I last saw hewn alive on


.9


19 50 death is said to


have occurred on the date stated above, at


8


30 p.


m.


INTERVAL BE-


TWEEN ONSET


AND DEATH


7g.


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Can of Bladder


ANTE Due To CEDENT (b) CAUSES


Due To (c)


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


19 MAIDEN NAME OF MOTHER Mary Sullivan


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ireland


21 John D. Ryan


Informant


(Address)


200 Lincoln St Winthrop


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter G. Baker (Signature of Agent of Board 'DHealth or other) Health office 6/14/50 (Official Designation)/ (Date of Issue of Permit)


STRUCTIONS FOR AL CERTIFICATE


In giving SE OF DEATH › not enter ire than one ise for each :), (b) and (c)


is does not mean de of dying, such t failure, asthenia, means the disease, plications which death.


orbid conditions, giving rise to the ause (a) stating derlying cause


nditions contrib- the death but not to the disease or on causing death.


50m-(b)-11-49-900,560


7 NAME OF


FUNERAL DIRECTOR


Received and filed


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


2 FULL NAME.


(a) Residence. No.


(Usual place of abode)


PERSONAL AND STATISTICAL PARTICULARS


South Boston


17 NAME OF


FATHER


William Orpin


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


If such a caused by violence, the medical examiner shall make such certificate.


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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