USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 68
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85
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
CORRECTED COPY
PLACE OF DEATH
1 SUFFOLK mity BOSTON (City or Town)
The Commonwealth of Massachusetts EDWARDAL CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
BOSTON
(City or town making return)
Registered No.
.9422
[(If death occurred in a hospital or institution. St. ¿ give its NAME instead of street and number)
2 FULL NAME
Sadie Housman
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence.
No.
(Usual place of abode)
50
CUTLER
ST.
St.
WINTHROP
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years .........
.months.
days. In place of residence.
... years
.. months ...
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Nov.
6, 1950
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
April .... 10
19 ... 49.,
to ...... N.O.v .......
6
1950
I last saw h ...
er .. alive on.
N.o.v. ....... 6
19 50 death is said to
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
MAX .... HOUSMAN
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
carcinoma
TWEEN ONSET AND DEATH 6 mos
11 IF STILLBORN, enter that fact here.
12
AGE
Years
Months.
Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation:
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
at home
15 Social Security No ..
16 BIRTHPLACE (City).
(State or country)
LONDON ENGLAND
17 NAME OF
FATHER
HARRIS GOLDSTEIN
18 BIRTHPLACE OF
FATHER (City) ...
(State or country)
RUSSIA
19 MAIDEN NAME
OF MOTHER
HANNA LEVY
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
RUSSIA
21
Informant
MAX ... HOUSMAN. .... HUSBAND
(Address)
A TRUE COPY
Charles & Ina.
ATTEST:
(Registrar of City or Town where death occurredy
1.1
Received and filed
JUN 25 1951
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
J. A". Meehan
M. D.
(Signed)
(Address)
Commonwealth .... Avte
19
Pride ofJacob
.West Roxbury
Place of Burial or Cremation
Nov. 7, 1950
19
7 NAME OF
FUNERAL DIRECTOR.
Louis Levine
ADDRESS
4.70 HARVARD ST. BROOKLINE
8 SEX
F
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCEMARRIED
(write the word)
TO DEATH (a)
of
brain
metastasis
ANTE
Due To
CEDENT (b)
carcinoma of breast
2 yrs
Due To
(c)
OTHER
SIGNIFICANT
CONDITIONS
gen.metastases
Major findings:
Of operations.
cancer of breast
Date of operatio Apr .... 14 ......... 4.WVas autopsy performed?
What test confirmed diagnosis ?.
path.
25m-(b)-11-49-900,475
6 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
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
ORM R-302 1
210
No.
Harley Hosp.
have occurred on the date stated above, at
3:50A
.m.
INTERVAL BE-
62
(City or Town) DATE OF BURIAL
DATE FILED
N.O.V ........ 9., ...... 1.950
............ 19 ..
RECEIV . .
1
3
7
6
IROP.
OCT 1 31950 AM
1
PLACE OF DEATH No.
(County) Marathon (City or Town) Hidrade Park
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.
211
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)
St.
(If nonresident, give city or town and State)
4 years
months .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
11
(Month)
(Day) (Year)
4 I HEREBY CERTIFY,
That I attended deceased from 1950
I last saw hemmalive on
11/7
195 de
, death is said to
have occurred on the date stated above, at 4 A m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
ANTE CEDENT (b) .. CAUSES
Due To Ciulical Hementing
Due To (c)
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.
(Signed)
(Address) Life fodenTLF 1
Thad6 Kxxam
M. D.
Date 16/9 1956
6 Hola trivs ;
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL. 11/10/50 19
7 NAME OF
FUNERAL DIRECTOR
ADDRESS 135 ZonderSt & Boston
19
Received and filed NOV 10 1950
(Registrar)
8 SEX
Mal
9 COLOR OR RACE
10 SINGLE (write the word), duedrived
MARRIED
WIDOWED
of DIVORCED
1
10a If married, widowed, or divorced HUSBAND of .. (Give maiden name of wife in full)
ivore Margaud Collins
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
59
Years
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :.
Luan
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No. 010-05-0704
16 BIRTHPLACE (City) (State or country)
Cash Backin
Mars
17 NAME OF FATHER Hugh Hele Hullon
18 BIRTHPLACE OF FATHER (City) (State or country) Canada
19 MAIDEN NAME
OF MOTHER
Mary Goodes
20 BIRTHPLACE OF MOTHER (City) (State or country)
Main
21 Informant (Address)
7/6.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter Ge Babe Signature of Agent of Board of Health draother ) Health Officer 6/9/50 (Official Designation) (Date of Issue of Permit)/
INSTRUCTIONS FOR DICAL CERTIFICATE In giving USE OF DEATH do not enter more than one ause for each (a), (b) and (c)
This does not mean mode of dying, such art failure, asthenia, It means the disease, om plications which d death.
Morbid conditions. y, giving rise to the cause (a) stating underlying cause
Conditions contrib- to the death but not d to the disease or tion causing death.
50m-(b)-11-49-900,560
ORM R-301A 1
2 FULL NAME ..
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode) Length of stay: In place of death.
4. years .months. days. In place of residence
Registered No.
PARENTS
1
19 50 to
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 shallexhume 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 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 bv 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 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
RM R-301A 1 Winthrop (City or TowA)
PLACE OF DEATH Suffolk (County)
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. 212
Registered No.
Winthorpe Community Hosp No.
Ellen Curran 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
43 Kellene At are
St. Winthrop mass
(If nonresident, give city or town and State)
Length of stay: In place of death 0 years
months 4 .days. . In place of residence 2 .years .months days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCE
(write/the word) guy edowed
10a If married, widowed, or divorced HUSBAND of .. (Give Raiden name of wife in full) (or) WIFE of Anthony Burson (Hustrend's name in full)
11 IF STILLBORN. enter that fact here.
12
AGF. 67
Months .. . Days
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)
Feland
17 NAME OF FATHER John Brosnahan
18 BIRTHPLACE OF FATHER (City) (State or country)
19 MAIDEN NAME
OF MOTHER
ER Margaret Duim
20 BIRTHPLACE OF MOTHER (City) (State or country)
Splans
.21 Anthony Entran Ml
Informept (Address) 36 Slimed Maslomyakiss
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the byrial or transit permit was issued: Walter G. Bakers.
Received and filed
NOV 14-1950
19
(Registrar)
4 days
Due To (c) ..
artenosdeuses
Len Jean
10 years
Major findings:
Of operations.
nome Was autopsy performed?
200
Date of operation ...
I + Unive trat for Diabetes
What test confirmed diagnosis?
200
5 Was disease er injury in any way related to occupation of deceased ?. If so, specify any 7 Cielin (Signed) Keren man Date 9 Nov 1950 (Address)
M. D.
St Pauls Arlington mass
6 Place of Burial or Cremation (City or Town)
DATE OF BURIAL
7 NAME OF FUNERAL DIRECTOR
ADDRESS 265 Masemyt
(Signature of Agent of Board of Health or other) Health officer (Official Designation)
(Date of Issue of Permit) 11/10/50
NSTRUCTIONS FOR CAL CERTIFICATE
In giving SE OF DEATH lo not enter ore than one use for each a), (b) and (c)
This does not mean ode of dying, such ri failure, asthenia. - means the disease, mplications which death.
forbid conditions, , giving rise to the cause (a) stating underlying cause
onditions contrib- to the death but not to the disease or ion causing death.
.50M (B)-12.49-900722
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH ..
november 9 1950 (Year)
(Month) (Day)
4I HEREBY CERTIFY.
6
1950 to
50
That I attended deceased from
9
19
50
19 ..
death is said to
have occurred on the date stated above, at
8.20P
.m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING ksstatic.
TO DEATH (a)
Pneumonia
12 Hours
ANTE Due To Cerebral
CEDENT (b)
CAUSES
Thomati
OTHER SIGNIFICANT CONDITIONS
paletes mellitus
PARENTS
Saganfer 13 1950
f(If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. (Usual place of abode)
I last saw h alive on
9
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.
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.