USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 13
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Cholsoa
(City or town making return) 101 42
Registered No.
J (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
2 FULL NAME
Ihrleno .... C. Lovots
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
23 Ocean Ave.
(Usual place of abode)
Winthrop, Nace
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
75,1053
(Month)
(Day)
(Year)
8 SEX
Pomalo
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDDin 1c
4 I HEREBY CERTIFY,
That I attended deceased from
Feb. 10., 1953 .....
to ...
Tob.15.
19.53.
I last saw h.] ......... alive on .. I.p.b.,14
19 .. , death is said to
have occurred on the date stated above, at. 6:0.5p .m. INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION DIRECTLY LEADING
TO DEATH (a)
Bron chopnoumonia
7 das
12
AGER*
Years
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).Chcicortoss.
(State or country)
17 NAME OF
FATHER
James R.
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Dubuque, Iowa
19 MAIDEN NAME
OF MOTHER
Faith T.Baker
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Waterloo, Iowa
6 Winthrop Com. inthron Mass
Place of Burial or Cremation (Cfty or Town)
DATE OF BURIAL
Tcb.17,1953
19
7 NAME OF
Kirby Bros.Fun, Home
FUNERAL DIRECTOR
ADDRESS
210 Winthrop St. Winthrop
Received and filed
MAR ... 2.4.1953
19
(Registrar of City or Town where deceased resided)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?.
Tos
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? If so, specify.Colantatt (Signed) 110-1 USIN Chelsea
M. D.
Date/15/53 19
PARENTS
21
James R.Lovest
Informant Organ Avo Winthrop, Muss
(Address)25
A TRUE COPY.
Jepl & Tyrrell
ATTEST:
(Registrar of City or Town where death occurred)
Feb. 17,1953
DATE FILED
19
MANOIN RIOENTLY TUN DINDING
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
50m-(e)-10-48-24658
No. U. s.Naval Hospital
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(write the word)
11.6
MAR22
ORM R-302 1
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
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)
Boston (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
(City or town making return)
Registered No.
1628
.13
J(If death occurred in a hospital or institution. St. \ give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
St.
Winthrop Mass
(a) Residence. No.
(Usual place of abode)
208-Cliff Ave.
(If nonresident, give city or town and State)
Length of stay: In place of death
years
months
days. In place of residence .......... years.
5
.months
.days.
35 Mins
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Month)
Feb/6/53
(Year)
8 SEX
F
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
4 I HEREBY CERTIFY.
That I attended deceased from
Feb/15
19 .... 53 ..
to ..
Feb.16.
19.53
I last saw h
eglive on
Feb. 16 ...... 19 .... 5.3death is said to
have occurred on the date stated above, at
6.05A.
INTERVAL BE-
TWEEN ONSET
AND DEATH
11 IF STILLBORN. enter that fact here.
12
3 Dayg AGE.9 ..
Years
5
Months
Days
If under 24 hours
Hours
.Minutes
13 Usual
Occupation :.
School
(Kind of work done during most of working life)
14 Industry or Business :
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Boston Maas.
17 NAME OF
FATHER
Alfred F August
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Cambridge loss.
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
Robert Machcan
M. D.
(Address)
300 Longwood Rve
2-18 53
Place of Burial or cremalo throp Cem-winthrop Mass ..
(City of Town)
DATE OF BURIAL
Feb.19/53
19
21
Informant.
(Address)
Father
7 NAME OF
FUNERAL DIRECTOR
M W Kirby
Winthrop Mass.
ADDRESS
MAR 10 1953
19
Received and filed
(Registrar of City or Town where deceased resided)
PARENTS
19 MAIDEN NAME
OF MOTHER
Gladys LaVoie
20 BIRTHPLACE OF
MOTHER (City)
Winthrop-Mass.
(State or country)
A TRUE COPY
af (Registrar of City or Town where death occurred) Feb.20/53
DATE FILED
19
Y
0
25M.(B) 11-51-905807
ANTE
Due To
CEDENT (b)
CAUSES
Due To
(c)
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 LEADING
TO DEATH (a)
Interstitial pneumonitis
OTHER
SIGNIFICANT
CONDITIONS
Membranous enteritis
Major findings:
Of operations
Date of operation
Was autopsy performed?
Ycs
6
No.
The Children's. Hospt.
Theresa August
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(write the word)
MEDICAL CERTIFICATE OF DEATH
١٠٠٠
6
MAREC
5
X
Suffolk (County)
Boston
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
(City or town making return)
Registered No.
1627 44
J(If death occurred in a hospital or institution, No.
St. [ give its NAME instead of street and number)
2 FULL NAME. Henry .N . Homeyer (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)
238 Woodside Ave
St.
Winthrop Mass
(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
3 DATE OF
DEATH
Feb.18/53
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Feb. 11 .. 19. 53.
to
Feb ..... 18 ....
19 ..
53
HUSBAND of
(Give maiden name of wife in full)
I last saw h ..... im ... alive on.
Feb .... 17 ...... 19 ..... 53death is said to
have occurred on the date stated above. at
1:10A.m.
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Carcinoma of esophagus
11 IF STILLBORN, enter that fact here.
2 MOSAGE
12
74 Years.
4
17
Months
Days
If under 24 hours
Hours .. .. Minutes
13 Usual
Occupation :.
Proprietor
(Kind of work done during most of working life)
14 Industry
or Business :.
Music Store
15 Social Security No ..
None
OTHER
SIGNIFICANT
CONDITIONS
Pulmonary edema
1-2 Days
Major findings:
Of operations
Carcinoma of esophagus
Date of operation.
2-14-53
Was autopsy performed ?.
No
What test confirmed diagnosis?
Biopsy and path. exam.
NO
5 Was disease or injury in any way related to occupation of deceased? If so, specify ....
(Signed)
CD Brannan
M. D.
(Address)
Lahey Clinic
Date
2-18.
19. 53
Winthrop Cem-Winthrop Mass.
(City or Town)
DATE OF BURIAL
Place of Burial or Cremation
Feb. 20/53
19
R C Kirby
ADDRESS
Received and filed.
MAR 1 6 1953
19
(Registrar of City or Town where deceased resided)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Germany
19 MAIDEN NAME
OF MOTHER
Wilhelmina Ma je
20 BIRTHPLACE OF
MOTHER (City)
Germany ..
(State or country)
21
Informant
(Address)
Mrs S E Honeyer Wife
TRUE COPY
Moules A Macher
(Registrar of City or Town where death occurred) Feb. 20/53
DATE FILED
19
MARRIED
WIDOWED
or DIVORCED
Married
10a If married, widowed. or divorceSarah E Connell
(or) WIFE of
(Husband's name in full)
ANTE Due To CEDENT (b) CAUSES
Due To (c)
25M.(B) 11-51.905807
PLACE OF DEATH
M R-302 1
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 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,
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
16 BIRTHPLACE (City)
(State or country)
Jersey City New Jersey
17 NAME OF
FATHER
Charles W Homeyer
6
7 NAME OF
FUNERAL DIRECTOR
East Boston Mass.
New England Baptist Hoapt.
11 1%
CA! !
6 5
MARAG
5
×
Suffolk (County)
1
Boston (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Boston
(City or town making return)
Registered No.
1709
45
2 FULL NAME
Thomas P Cox
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
207 Pleasant St
St.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Winthrop Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death
... years
.months.
19ays.
In place of residence
24
.. years
months
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
(Month)
Feb.19/53
(Day)
(Year)
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the werd)
Harried
4 I HEREBY CERTIFY,
That I
attended deceased from
Feb.199
56
10a If married, widowed, or divorcedgilda Cardin
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Arterio sclerotic
heart disease
Yrs
12
74
AGE
Years
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation :
Manager
14 Industry
or Business:
Restaurant
15 Social Security No.
025-09-7301
16 BIRTHPLACE (City)
(State or country)
Boston Mass.
OTHER
SIGNIFICANT
CONDITIONS
Broncho pneumonia
Days
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?.
No
What test confirmed diagnosis?
EKG
No
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
Jameg Keepan
M. D
(Address) . St. Elizabeth & DogBitte
3-1919.
53
Winthrop Com-Winthrop Mass.
6
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
Feb. 21/53
19
21
Informant
(Address)
A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Feb. 24/53
19
.....
(Registrar of City or Town where deceased resided)
PARENTS
18 BIRTHPLACE OF
Haverhill M ss.
FATHER (City)
(State or country)
19 MAIDEN NAME
OF MOTHER
Rose A Kelley
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ircland
R Cox
7 NAME OF
FUNERAL DIRECTOR
J F O'Maley
ADDRESS
Winthrop Mass.
Received and filed
MAR 10 1052
19
25M-(B) 11-51-905807
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.)
M R-302 1.
PLACE OF DEATH
No.
St.Elizabeth's Hospt.
j(If death occurred in a hospital or institution,
St. Į give its NAME instead of street and number)
Feb.1 19.
53
to
I last saw h ..
.i.m.alive on
Feb.18
53
19
.. , death is said to
have occurred on the date stated above. at
10;30A.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
ANTE
Due To
CEDENT (b)
CAUSES
(Kind of work done during most of working life)
Due To
(c)
17 NAME OF
FATHER
Thomas A Cox
1
6
MAR16
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.)
25M-(B)-11-51-905807
C
PLACE OF DEATH
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
LOSTON
(City or town making return)
Registered No. ...
1787
46
J(If death occurred in a hospital or institution. .x.X.Xtxl give its NAME instead of street and number)
2 FULL NAME.
ROBERT J PROMI SEL
(If deceased is a married, widowed or divorced woman, give also maiden name.)
5 Coral Ave.,
Winthrop, Mass
(If nonresident, give .cy 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
8 SEX
M
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCERarried
4 I HEREBY CERTIFY,
1/19
19.
to ..
2/20
ThatWE attended deceased from
19.53
Weast saw h ... 1 mm ... alive on.
2/20
19.53death is said to
have occurred on the date stated above. 9:35a
m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
5wks
?
12
AGE.7.3 ... Years.
.Months
Days
If under 24 hours
.. Hours .....
Minutes
13 Usual
Occupation:
Grocer.
(ret).
(Kind of work done during most of working life)
14 Industry or Business:
15 Social Security No ...
16 BIRTHPLACE (City)
(State or country)
Russia
17 NAME OF
FATHER
Bernard Promisel
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
Jennie
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
A Promisel
7 NAME OF
FUNERAL DIRECTOR
B Solomon
ADDRESS
Brookline, Mass
Received and filed
MAR 1 6 1953
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) ......... Suvama
(Address)
M. D.
Date.
2.20
.. 19 .... 53
6 David Vicur Choulim (Lebanon) ! Rox Place of Burial or Cremation (City or Town)
DATE OF BURIAL.
Feb 22
19.53
21
Informant
(Address)
22
A TRUE COPY
harkes H. Mackie
ATTEST:
............
(Registrar of City or Town where death occurred)
DATE FILED
Feb 25
1953
1-
(a) Residence. No.
(Usual place of abode)
3 DATE OF
DEATH
(Month)
(Day)
1
ht . disease
Due To
(c)
OTHER
SIGNIFICANT
G I bleeding
Major findings:
Of operations.
What test confirmed diagnosis ?.
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
duodenal ulcer
February
20
1953
(Year)
(write the word)
10a If married, widowed, or divorced
HUSBAND of.
Rachel Schwartz
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN. enter that fact here.
DISEASE OR CONDITION DIRECTLY LEADING TO DEATH (a) ... cerebral .... hemorrhage .. pulmonary edema
ANTE Due To hyper arteriosclerotic CEDENT (b) CAUSES
Date of operation
Was autopsy performed ?.
yes
X SUFFOLE Q & (County)
A R-302 -
No. Mass .... General Hospital
(Was deceased a
U. S. War Veteran,
if so specify WAR)
T
MARIO
PLACE OF DEATH Y
SUFFOLK (County) Winthrop (City or Town) 1010 Shirley No.
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.
47
Registered No.
J(If death occurred in a hospital or institution. St. | give its NAME instead of street and number)
Gertrude M Franceschi (Fix)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
1010 Shirley
St.
(If nonresident, give city or town and State)
Length of stay: In place of death years.
months.
days. In place of residence 5 years .. months .. .. . days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
March
(Month)
1 1953
(Day)
(Year)
4 I HEREBY CERTIFY, That I attended deceased from January 101951 to .. March 1 53
I last saw h
er
March bos, death is said to
INTERVAL BE- TWEEN ONSET AND DEATH
DISEASE OR CONDITION
DIRECTLY LEAD E Ganciona
TO DEATH (a)
right heart
ANTE
Due To
general
CEDENT (b)
CAUSES Carcinomatorio
Due To (c)
Terminal
OTHER
SIGNIFICANT
CONDITIONS
Bronchopreuniuci
Major findings:
Of operations.
Date of operation une
.Was autopsy performed ?. no
What test confirmed di clinical + laboration
5 Was disease or injury in any way related to occupation of deceased? If so, specify b (Signed) quiliny Date 3/2/193 D 1
(Address) . 5062
(City or Town)
DATE OF BURIAL.
1053
7 NAME OF
FUNERAL DIRECTOR
Manmeg N 1 fully
ADDRESS
Received and filed MAR 4 1953
19
(Registrar)
& SEX
9 COLOR OR RACE
Filete
10 SINGLE MARRIED WIDOWED or DIVORCED
(write the word) muned
10a If married, widowed, or divorced HUSBAND of .. .
ive maiden name of wife in fyns
(or) WIFE of
(Husband's name in fully
11 IF STILLBORN. enter that fact here.
12 AGE Years Months ... ... .Days
If under 24 hours Hours .Minutes
13 Usual
Occupation :
home
(Kind of work done during most of working life)
14 Industry or Business :
15 Social Security No. ... Mone
16 BIRTHPLACE (City) (State or country)
17 NAME OF FATHER Joseph Fix
18 BIRTHPLACE OF FATHER (City) (State or country)
Boston
19 MAIDEN NAME OF MOTHER Elizabeth Baker
20 BIRTHPLACE OF MOTHER (City) (State or country)
Boston
21 Informant (Address) 1916 Skulle de
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Walter S. Bakers (Signature of Agent of Board of Health or other) Theatthe office 3.4.53
(Official Designation) (Date of Issue of Permit)
1
C
R-301A 1
JCTIONS OR ERTIFICATE
iving F DEATH t enter han one or each ) and (c)
es not mean dying, such re, asthenia. s the disease. tions which
conditions. g rise to the (a) stating ving cause
ons contrib- eath but not disease or using death.
PARENTS
100M.(D)-10-48-24858
1
>2 FULL NAME 7
(a) Residence. No. (Usual place of abode)
PHYSICIAN - IMPORTANT
(Was deceased a U. S. War Veteran, if so specify WAR)
PERSONAL AND STATISTICAL PARTICULARS
have occurred on the date stated above. at 6AM
3 gra
130
Mar 4
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 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.
the deceased, furnish for registration a standard certificate of death, stating to the. " of bhly such persons as are supposed to have died by violence. If a medical
A physician or officer furnishing a certificate of death as required by the; 1 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 " ,or the funeral is to be held, or from a person appointed to have the care of the engaged. insert in the certificate a recital to that effect, specifying the warand shall also certify in such certificate both the primary and the secondary or imme- Chap 114, Sec.46, G. L., (Tercentenary Edition). 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 RULES OF PRACTICE of said chapter one hundred and fourteen, the word "war" shall include the Chmal 6 be fulfillment of the purpose of these laws calls for the observance of the follow- relief expedition and the Philippine insurrection, which shall, for said purposes, be deemed to have taken place between February fourteenth. eighteen hundred and / lang rules of practice:
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 Boar 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 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 cemetery or burial ground in which the interment is made.
1.(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.
1.(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 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.
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