USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1950 > Part 7
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SIGNIFICANT
Major findings:
Of operations.
(Signed)
(Address)
B.IH
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
CONDITIONS
with abscess formation
50m-(e)-10-48-24658
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
male
9 COLOR OR RACE
white
10 SINGLE
(write the word)
MARRIED
WIDOWED married
or DIVORCED
4 I HEREBY CERTIFY,
That I attended deceased from
19
50
HUSBAND of.
Bella ... Lippman
(Give maiden name of wife in full)
INTERVAL BE-
TWEEN ONSET AND DEATH
sev
das
11 IF STILLBORN, enter that fact here.
12
AGE
72 Years.
Months.
Days
If under 24 hours
.Hours
.Minutes
13 Usual
Occupation:
Real estate dealer
(Kind of work done during most of working life)
14 Industry
Real estate
or Business:
16 BIRTHPLACE (City)
(State or country)
Poland
17 NAME OF
FATHER
Samuel Slater
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Poland
19 MAIDEN NAME
OF MOTHER
Rebecca Rachwalska
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Poland
21 Gertrude Slater
Informant
(Address)
A TRUE COPY
Charles H. Mackie
ATTEST:
(Registrar of City or Town where death occurred)
Received and filed.
DER 1 1950
19
(Registrar of City or Town where deceased resided)
PARENTS
5 Was disease or injury in any way related to occupation of deceased ?..... n.Q.
If so, specify
F A Malkinson
M. D.
Was autopsy performed?
yes
Date of operation
Autopsy confined gall
What test confirmed diagnosis?
bladder pathology
Date.
1/13
.19 ... 50
6 Winthrop Tifereth Israel Everett Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
Jan 15 1950
19
7 NAME OF
FUNERAL DIRECTOR
H J Torf
ADDRESS
Chelsea
DATE FILED
Jan 16
1950
.19
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
ORM R-302 1
No. Beth Israel Hospital
40
I last saw
h
alive on
Jan 13 150
death is said to
(or) WIFE of.
(Husband's name in full)
10a If married, widowed, or divorced
15 Social Security No.
none
RECEIVE
1/ 19
tv ! !
FEB 1 71950 AM
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
+
Essex
(County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Danvers (City or town making return)
19
Danvers State Hospital, Hathorne, Mass
death occurred in a hospital or institution,
ghe its NAME instead of street and number) No.
2 FULL NAME
Arthur John Campbell
(If deceased is a married, widowed or divorced woman, give also maiden name.) 129 River Rd., Winthrop, Mass
St.
(If nonresident, give city or town and State)
Length of stay: In place of death 7. years. 11 .months. 27 .days. In place of residence .. .......... years. months. .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
January
23
1950
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Sept. 11 19 44.
to
Jan ...... 23
19.5.0
I last saw h ...... imalive on. Jan. 23, 19.50 death is said to have occurred on the date stated above, at 6:15 pm. INTERVAL BE- TWEEN ONSET AND DEATH
10a If married, widowed, or divorced
HUSBAND of.
Corrine Francisco
(Give ma
name of wife 1
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
63
5
1
If under 24 hours
Hours.
Minutes
13 Usual
Occupation:
Carpenter
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Mass
17 NAME OF
FATHER
John H. Campbell
18 BIRTHPLACE OF
FATHER (City)
Washington
(State or country)
D.C.
19 MAIDEN NAME
OF MOTHER
Rachel Woods
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
21 Mary E. Sheehan
Informant
(Address)
Hathorne, Mass.
A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
...
(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
Julius W. Fryer
M. D.
(Signed)
(Address) .... Hathorne Mass, Date 1 /27
.. 1950
6
Walnut Grove Cemetery Danvers
Place of Burial or Cremation
DATE OF BURIAL
January 27 .19 50
7 NAME OF
FUNERAL DIRECTOR
William H. Crosby
ADDRESS
Danvers, Mass.
Received and filed
FEB 2 . 1950
19
DATE FILED
.......
Feb. 1
.. 19 ..
50
MARGIN KESEKVED FOK BINDING
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
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
FORM R-302 1 Danvers
(City or Town)
Registered No ..
(Was deceased a U. S. War Veteran, if so specify WAR).
(a) Residence. No. (Usual place of abode)
8 SEX
Male
White
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEDDivorced
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Bronchopneumonia
4 days
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
Was autopsy performed?
No
What test confirmed diagnosis?
Clinical
AGE
Years
Months
. Days
Boston
X
Every item of of Death. See reverse side for extracts from the laws relative to the return of certificates of death. DEATH in plain terms, so that it may be properly classified under the International Classification of Causes information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK -THIS IS A PERMANENT RECORD. If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
50m-(g)-10-48-24658
PLACE OF DEATH Sull'k (County)
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or Its Agent.
Registered No.
20
en route to Winthural Community death occurred in a hospital or institution, No . NAME instead of street and number) nathan Strauss
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT J (Was deceased a U. S. War Veteran, ( if so specify WAR)
(a) Residence. No. (Usual place of abode)
44 Underwill St, Winthrop
St.
(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
Leb -
/ -
1950
(Month) (Day)
(Year)
4 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof) are as follows: (If an injury was involved, state fully.) Hubertensure Heart Disease
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
13 65
.Years.
Months
Days
If under 24 hours
Hours
Minutes
5 Accident, suicide, or homicide (specify)
Date and hour of injury.
19
Where did Injury occur? (City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public place?
(Specify type of place)
Manner
Collapsed while walking in
Injury
(How did injury occur?)
Nature of street on suncity night
Injury
While at work?
Was autopsy performed?
6 Was disease or injury in any way related to occupation of deceased ?.
If so, specify
21
M. D. (Signed) Basta Cong. Johr-2- 1950
(A dress)
Place of Burial, or Cremation (City of Town)
turf 3/ 1990 That Rar
DATE OF BURIAL
8 NAME OF FUNERAL DIRECTOR
ADDRESS 12/20 tillu Thus
19
Received and filed FEB 9 1950
(Registrar)
PARENTS
18 NAME OF
FATHER
Moms (STRAUSS) O.K
19 BIRTHPLACE OF
FATHER (City)
(State or country)
20 MAIDEN NAME
OF MOTHER
21 BIRTHPLACE OF MOTHER (City) (State or country)
22
Informant
(Address)
Mamythan
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the banal or transit permit was issued:
J. Kane 13372
(Signature of Agent of Board of Health or other) Dep Comme /act) tob 2, , 95 0 (Official Designation) (Date of Issue of Permit)
Usual
Occupation :..
(Kind of work done during most of working life)
53,
Industry
or Business ...
Che Fanteri
16 Social Security No ..
0/3-2101-0518
17 BIRTHPLACE (City).
(State or country)
Rusna
9 SEX
10 COLOR OR RACE
11 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Marnick
11a If married, widowed or divorced
Sora Marcin
Chronik un o carditis
RM R-303 A 1 Authorof (City or Towny
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 that the deceased served in the army, navy or marine corps of in any war in which it has been engaged, such recital shall appea The board of health, or its agent, upon receipt of such statem shall forthwith countersign it and transmit it to the clerk of the tion. The person to whom the permit is so given and the pl the cause of death shall thereafter furnish for registration an information which can be obtained as to the deceased, or as cause of the death, which the clerk or registrar may require. 45, G. L. as amended by Chap. 48, Acts of 1927 and Chap.
No undertaker or other person shall bury a human body or which have been brought into the commonwealth until he has 60 to do from the board of health or its agent appointed to i or if there is no such board, from the clerk of the town where buried or the funeral is to be held, or from a person appointed of the cemetery or burial ground in which the interment is ma Sec. 46, G. L., as amended.
Medical examiners shall make examination upon the view o of persons as are supposed to have died by violence, or chemical, thermal or electrical agents or following abortion. resulting from injury or infection relating to occupation, or s disabled by recognizable disease, or when any person is found d Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Ac .. The medical examiner certifies the cause and manner of of his knowledge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observ ing rules of practice:
(1) Attending physicians will certify to such deaths only a to whom they have given bedside care during a last illness from to any form of injury.
(2) Board of Health physicians will certify to such deat persons who, though disabled by recognized disease unrelated injury, have died without recent medical attendance or whose p from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all d due to injury. These include not only deaths caused directly traumatism (including resulting septicemia), and by the ac (drugs or poisons) thermal, or electrical agents, and deaths follow also deaths from disease resulting from injury or infection relat the sudden deaths of persons not disabled by recognized dise persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the c thereof, and will specify: (1) Under cause the nature of an consequences; and (2) under manner the mode of its producti the circumstances when these are known. For example: "Comp the femur with ensuing septicemia (gas bacillus) caused by accident.""Pistol shot wound of the chest with associated h icidal." "Asphyxiation by suspension, suicidal." "Syncope influence of ether administered as a surgical anaesthetic." skull with associated internal injury sustained under circumsta
If disease or injury was related to occupation, specify, shows the death to have been due to disease, specify: (1)Under or presumable nature; and (2) under manner, indicate the circu to medico-legal inquiry. For example: "Hemorrhage spontan (basal ganglia) (found dead in bed)." "Heart disease, prest sclerosis. (Sudden death.)'
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
Telephone Bluehills 8-5700
Night Telephone Bluchills 8-5701
B. Schlossberg and Sons Funeral Directors Chapel: 1272 Blue Still Avenue Mattapan 26, Mass. 3-1-50
Town Clerk Town Hall Winthrop Mass.
Dear Sir:
On Feb.3rd a death certificate Was recorded for the late Nathan Strauss of 44 Underhill St Winthrop Mass. in the filling out of sand paper an error was made by our office in his age, the correct age should be 65 years and we would be very appreciative if you could correct the same.
Very truly yours B./Schlossberg & Sons
MAR -21950 A3
ORM R-302 1
PLACE OF DEATH
SUFFOLK BOSTON
(City or Town) Jewish Mem Hosp No.
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.
1193.21
J(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.)
36 Cutler
St.
Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death
.years
months.
7
.days. In place of residence.
... years.
months ...
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
female
9 COLOR OR RACE
white
10 SINGLE
(write the word)
MARRIED
WIDOWED married
or DIVORCED
4 I HEREBY CERTIFY.
Jan 31
19. 50
to
Feb 6
That I attended deceased from
19
50
I last saw h. er ...... alive on
Feb 6 , 19 50 death is said to
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Anchel Levine
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
52 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.
none
16 BIRTHPLACE (City)
(State or country)
Russia
17 NAME OF
FATHER
Nathan Lieb
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
C D Bonner
M. D.
(Address)
JMH
Date
2/6
19 ... 5.0
Everett (City or Town)
DATE OF BURIAL.
Feb 7 1950
19
21
Informant
(Address)
Mark Levine
7 NAME OF
FUNERAL DIRECTOR
L Schlossberg
ADDRESS Mattapa
Received and filed.
MAR 10 1950
19
(Registrar of City or Town where deceased resided)
PARENTS
19 MAIDEN NAME
OF MOTHER
Mary Klayman
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
A TRUE COPY
Charles 2. Ina
.
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Feb 9 1950
......
... 19.
-....
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
50m-(e)-10-48-24658
2 FULL NAME.
(a) Residence. No.
(Usual place of abode)
(Month)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) Uremia
Major findings:
Of operations.
Date of operation
(Signed)
6
.Int ... Workers Order
Place of Burial or Cremation
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
(c)
Due TOHypertension
3 DATE OF
DEATH
Feb 6 1950
(Day)
(Year)
have occurred on the date stated above, at.
12:10P
.m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
das
ANTE
Due ToChr nephritis
CEDENT (b)
CAUSES
Diabetes mellitus
?yrs
5yrs
OTHER SIGNIFICANTHypertensive & arterip CONDITIONS sclerotic heart dis
2yrs
Was autopsy performed?
yes
What test confirmed diagnosis ?.
clin & Lab
no
Frieda Levine
(Was deceased a U. S. War Veteran, none
if so specify WAR)
+
PLACE OF DEATH
SUFFOLK (County) WINTHROP (City or Town)
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.
22
248 SHIRLEY No.
J(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(If deceased is a married, widowed or divorced woman, give also maiden name.)
248 SHIRLEY
(a) Residence. No.
(Usual place of abode)
St. (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
FEB. 7-1950
(Month) (Day)
(Year)
8 SEX
FEMALE WHITE
10 SINGLE
MARRIED
WIDOWEDAG
or DIVORCESNOWED
(write the word)
4 I HEREBY CERTIFY,
That I attended deceased from
January 15
1913
I last saw her
alive on
1950
death is said to
to
February 7
19 %
10a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
(Give maiden name of wife in full)
PAUL ANTOCCI.
(Husband's name in full)
have occurred on the date stated above, at
2. A. m.
INTERVAL BE- TWEEN ONSET AND DEATH 2 day
11 IF STILLBORN, enter that fact here.
12
AGE
8%
Months
Days
If under 24 hours
Hours
Minutes
ANTE
Due To
arterio salevatio
CEDENT (b)
CAUSES
heart disease
Due To
generalized arterio
(c)
sclerosis
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
„Was autopsy performed?
no
What test confirmed diagnosis?
clinical
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
Paul Pullernsalt ff
(Signed) 238 Swore Drive Winthrop Man
M. D.
(Address)
6 ST.BERNARD Place of Burial or Cremation
FITCHBURG (City or Town)
DATE OF BURIAL FER, 9 1950
7 NAME OF
FUNERAL DIRECTOR.
HAROLD F. POOT
ADDRESS FITCHBURG MASS
Received and filed. 19
FEB 9 19.5.0
(Registrar)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
ITALY
19 MAIDEN NAME
OF MOTHER
JOSEPHINE
2
20 BIRTHPLACE OF MOTHER (City) (State or country) ITALY
LUCIA IVADONA
21
Informant
(Address)
249 SHIRLEY ST
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Watter A Bakkers (Signature of Agent of Board of Health or other) Martin 2/7,50
(Official Designation) JV
(Date of Issue of Permit)
X
RM R-301A 1
NSTRUCTIONS FOR CAL CERTIFICATE
In giving SE OF DEATH lo not enter ore than one use for each a), (b) and (c)
his does not mean ode of dying, such rt failure, asthenia, means the disease, implications which death.
forbid conditions, , giving rise to the cause (a) stating nderlying cause
onditions contrib- o the death but not to the disease or on causing death.
50m-(b)-11-49-900,560
2 FULL NAME
FRANCESCA
AIUTOCCI (GENTILE)
(Was deceased a U. S. War Veteran. if so specify WAR)
0
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Left ventricular faiture
3 years
13 Usual
Occupation:
HOMEMAKER
(Kind of work done during most of working life)
14 Industry
or Business :.
HOME
15 Social Security No.
IVONE
16 BIRTHPLACE (City) ITALY (State or country)
17 NAME OF FATHER NICHOLAS GENTILE
Date
/2/7
9 COLOR OR RACE
Registered No. .
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
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