USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 21
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STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause the nature of an injury and of its consequences; and (2) under manner the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident.""Pistol shot wound of the chest with associated hemorrhage, hom- icidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anaesthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1)Under cause its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous of the brain (basal ganglia) (found dead in bed).'' "Heart disease, presumably coronary sclerosis. (Sudden death.)"
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
.. ....
PLACE OF DEATH
Suffolk ((County) Winthrop (City or Towa wintheore 142 Measan No.
The Commonwealth of Massachusetts OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
CERTIFICATE OF DEATH Convalescent Home
Registered No.
[(If death occurred in a hospital or institution, 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)
2
Length of stay: In place of death years. .. . . months.
.days. In place of residence
50
.years ...
.months
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
april
3
1953
(Year)
(Month)
(Day)
That
I attended deceased from
I last saw h Mmm ... alive on.
april 2
.. 19 53, death is said to
have occurred on the date stated above, at
5:30 Am.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
10 "days 89
12
AGE
Years
8
Months
2.
Days
If under 24 hours
Hours . Minutes
13 Usual
Occupation:
(Kind of work done during most of working life)
14 Industry
or Business:
Glass ware
15 Social Security No.
none
16 BIRTHPLACE (City) .
(State or country)
wilton
maine
17 NAME OF FATHER Unableto Obtain
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Unableto Obtain
20 BIRTHPLACE OF MOTHER (City) (State or country)
21 Informant (Address)
35 Enfield Rd. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed, with me BEFORE the burial or transit permit was issued: Walter of baker.
(Signature of Agent of Board of Health or other)
Health Affecte (Official Designation)
4 3,53 X
(Date of Issue of Permit)
100M-(D)-10-46-24656
6 newton cam newton mass Place of Burial or Cremation (City or Town) DATE OF BURIAL April 6 19
7 NAME OF
Victoria G Reynolds
ADDRESS 180 Winthrop St Vinetop
Received and filed.
PR 3 00 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
9 COLOR OR RACE
8 SEX
Male White
(wwith the word) widowed
10a If married, wideundt er divorced
HUSBAND of ..
allian
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADINGO
TO DEATH (a)
Cerebral Thrombosis
ANTE
Due To
Cerebral arterio-
CEDENT (b)
CAUSES
Sclerosia
(c)
To Generalized arterio - Sclerosis
Years
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations
Date of operation
Was autopsy performed? no
What test confirmed diagnosis?
5 Was disease or injury in any way related to occupation of deceased? no
If so, specify .....
(Si
(Address) Manthrop
M. D.
May Day 3 Abril 1953
Albert Ellsworth Haskell (If deceased is a married, widowed or divorced woman, give also maiden name.) 35 Enfield Road
(If nonresident, give city or town and State)
UCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each b) and (c)
does not mean of dying, such lure, asthenia, ns the disease, ations which h.
d conditions. ng rise to the e (a) staling lying cause
ions contrib- death but not he disease or ausing death.
I R-301A 1
2 FULL NAME.
4 I HEREBY CERTIFY.
april
51
19
april 3
1953
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
mccloud
Salesman
Means
England
Verginia Johnsen
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE
RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . . Gen. Laws, Chap. 46, Sec. 9.
A physician or officer furnishing a certificate of death as required by the preceding section or by section forty-five of chapter one hundred and four- teen, shall, if the deceased, to the best of his knowledge and belief, served in the army, navy or marine corps of the United States in any war in which it has been engaged, insert in the certificate a recital to that effect, specifying the war, and shall also certify in such certificate both the primary and the secondary or imme- diate cause of death as nearly as he can state the same. For neglect to comply with any provision of this section, such physician or officer, shall forfeit ten dollars. For the purposes of this section and of sections forty-five, forty-six and forty-seven of said chapter one hundred and fourteen, the word "war" shall include the China relief expedition and the Philippine insurrection, which Shall, for said purposes, be deemed to have taken place between February fourteenth, eighteen hundred and ninety-eight and July fourth, nineteen hundred and two, and the Mexican border service of nineteen hundred and sixteen and nineteen hundred and seventeen. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be. a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information -which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45, G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same; General Laws, Chap. 38. Sec.6.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought mto 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 ob such board from the clerk of the town where the body is to be buried or the funeralis to be held, or from a person appointed to have the care of the cemetery or burialground in which the interment is made.
Chap. IT,Sec.46; G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulli ment of the purpose of these laws calls for the observance of the follow- ing rules of phactite
(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
X
SUFFOLK
(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.
3268
.. v. J(If death occurred in a hospital or institution. St. [ give its NAME instead of street and number)
2 FULL NAME
Anna ... J. .. Mack.
(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. 38 Tilesta Road St. Winthrop Maas town and State)
(Usual place of abode)
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
(Month)
App: il 3/53
(Year)
8 SEX
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDWidowed
4I HEREBY CERTIFY.
That I attended deceased from
March 1 .. 19.53 .....
April 3.
1953
I last saw h .... er ... alive on ........
April 3 . 153.
., death is said t
have occurred on the date stated above. at
9:45Am.
INTERVAL BE-
(or) WIFE of.
Stenben A Mack
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
Cerebral hemorrhage.
TWEEN ONSET ANO DEATH
11 IF STILLBORN, enter that fact here.
4 Days12 AGE 73 Year6.
... Months
8
.Days
If under 24 hours
Hours
Minutes
ANTE
Due To
CEDENT (b)
CAUSES
General arterio selerotic
heart disease
Yrs
Due To
(c)
Sonility
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)
J.A. DeStefano
M. D.
(Address)
Boston Hagy
Date]3
Holyhood Brookline. ... Mas.s.
6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL
April 6/53
19
7 NAME OF
FUNERAL DIRECTOR
R ... C ... Kirby
ADDRESS
Boston Mags
Received and filed.
19
MAY 4 1953
(Registrar of City of Town where deceased
PARENTS
17 NAME OF
FATHER
John Phillips
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Catherine McCann
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21
Informant.
(Address)
W. S Hack Son
A TRUE COPY? Les Für
ATTEST:
(Registrar of City or Town where death occurred)
April 7/53
DATE FILED ...
19 X
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,
M R-302 1
PLACE OF DEATH
No. 61 Robinwood Ave.
25M-(B) -11-51-905807
13 Usual
Occupation :
Housewife
14 Industry
or Business:
At ... Home
15 Social Security No.
None
16 BIRTHPLACE (City).
(State or country)
Ireland
(Kind of work done during most of working life)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(write the word)
SSOCIVED
OF TOW
11
1
6
WINTHR
MAY-4 AM
PLACE OF DEATH
SUFFOLK 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.
3249
J(If death occurred in a hospital or institution.
X./SX ( give its NAME instead of street and number)
2 FULL NAME
DANIEL SCHWARTZ
(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)
(If nonresident, give city or town and State)
Length of stay: In place of death.
.years ..
19
days.
In place of residence.LO ... years.
.. months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
April
3
1953
(Month)
(Day)
(Year)
That I attended deceased from
4 I HEREBY CERTIFY.
3/15
19
to.
4/3
195.3.
10a If married. widowed, or divorced
HUSBAND of.
Minna Hobbor
(Give maiden name of wife in full)
have occurred on the date stated above, at4 .:. 1.0p.
.m.
INTERVAL BE-
TWEEN ONSET
AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE58
.. Years
Months
Days
If under 24 hours
.Hours
Minutes
13 Usual
1
Occupation :
Baker
14 Industry
or Business:
For himself
15 Social Security No ....
02-03-5960
16 BIRTHPLACE (City).
(State or country)
Poland
17 NAME OF
FATHER
Ansel Schwartz
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Poland
Date of operation
Was autopsy performed ?..... Yo.8
What test confirmed diagnosis ?.
C.G
HO
5 Was disease or injury in any way related to occupation of deceased ?. If so, specify, (Signed) ........... Miller Jn. M. D.
(Address)
NE.DH
Date ....... 4 .3
...... 153 ..
Tifereth Israel of Rovere-Everett
Place of Burial or Cremation
DATE OF BURIAL
Apr 5
(City or Town) 53
7 NAME OF
FUNERAL DIRECTOR
A Golov
ADDRESS
Dorchester
Received and filed.
MAY 4 1952
19
(Registrar of City or Town where deceased resided)
PARENTS
19 MAIDEN NAME
OF MOTHERsarah
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Poland
21
Informant
(Address)
M.Schwarts
A TRUE COPY
ATTEST:
(Registrar of City or Town where death occurred)
V
DATE FILED
Apr 7
.........
1953
........
25M-(B)-11-51-905807
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
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.)
Diabetes mellitus
OTHER
SIGNIFICANT
CONDITIONS
Polycythomia
4yrs. 2yrs.
Major findings:
Of operations.
2yrs
plus
(Kind of work done during most of working life)
Due To
(c)
ANTE
Coronary heart dis
case with previous
infarction
Bhrs.
8 SEX
M
9 COLOR OR RACE
(write the word)
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDlarried
I last saw h ... ..... alive on.
4/3
19.53 death is said to
(or) WIFE of ..
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) acute coronary
occlus ion
........
St.
Winthrop,
Mass
36 Forest
No.
N E Deaconess Hospital
RECEIVEO
OF TOWN
11 12
1340
8
VI
6
MAY-4 AM
1 R-301A 1 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.
75
No. Winthrop Community Hospital Balsbar Nickerson Nickerson 2 FULL 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, No.
if so specify WAR) .
St. East Boston, Mass
(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
(Month)
4
1959
(Day)
(Year)
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
Single
4 I HEREBY CERTIFY,
That I attended deceased from 3
h is s
have occurred on the date stated above, at INTERVAL BE-
DISEASE OR CONDITION
DIRECTLY LEADING
€/2 ms
TWEEN ONSET AND DEATH 1/2h
ANTE Due To CEDENT (b) CAUSES
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? And
If so, specify Sano Esolution
(Signed).
(Address) 19/3-
6 Woodlawn Cemetery ........ Everett Place of Burial or Cremation (City or Town)
DATE OF BURIAL
April 6th
19.5.3
7 NAME OF
FUNERAL DIRECTOR
Richard C. Kirby
ADDRESS 917 Bennington St. , E. Boston
Received and filed.
APR 6 1953
19
(Registrar)
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.
12
AGE
Years
Months
Days
If under 24 hours
Hours .3 Ofinutes
13 Usual
Occupation :
None
(Kind of work done during most of working life)
14 Industry
or Business:
None
15 Social Security No.
None.
16 BIRTHPLACE (City) ..
(State or country)
Mass.
17 NAME OF
FATHER
Donald H. Nickerson
18 BIRTHPLACE OF
FATHER (City)
Shelbourne
(State or country)
Nova Scotia
19 MAIDEN NAME
OF MOTHER
Phyllis M. MacDonnell
20 BIRTHPLACE OF
MOTHER (City)
Brighton
(State or country) Mass.
21 Donald H. Nickerson-father
Informant (Address) 180 Falcon St., East Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter A. Bakery. (Signature of Agent of Board of Health or other)
Health Officer
4.6.53
(Official Designation)
(Date of Issue of Permit)
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
does not mean of dying, such ilure, asthenia, Ins the disease, cations which th.
id conditions, ing rise to the e (a) stating lying cause
lions contrib- e death but not the disease or causing death.
50M (B)-1-51 903566
PLACE OF DEATH
53
Suffolk (County)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 180 Falcon Street (Usual place of abode)
1/2/0
Registered No.
(write the word)
april 4
1953
to.
I last saw h
Malive on.
april 4, 1955 à
2 am
TO DEATH
Prematura
Winthrop
PARENTS
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 leath 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 nf the family of the deceased, furnish for registration a standard certificate of death, stating tn 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 hest 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, he 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 hy 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 he 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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