Town of Winthrop : Record of Deaths 1953, Part 60

Author: Winthrop (Mass.)
Publication date: 1953
Publisher:
Number of Pages: 600


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1953 > Part 60


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no


none


Mrs Gertrude Meharg(mother)


18. I. DISEASE OR CONDITION DIRECTLY LEADING TO DEATH This does not mean the mode of dying, such as heart failure, asthenia, etc. It means the disease, injury, or complication which caused death. ANTECEDENT CAUSES Morbid con- (b) ditions, if any, giving rise to the above cause (a) stating the underlying cause last. (c)


(a)


DUE TO


OCOCCI


DUE TO


20. AUTOPSY?


YES


X


NO


( Degree or title)


21f. HOW DID INJURY OCCUR?


,


----


Meharg


Laconia Hospital


WIDOWED, DIVORCED (Specify)


Single


RECEIVED


OF


TOWA


9:2


4


C.


R


SEP16 AM


L


PLACE OF DEATH


SUFFOLK BOSTON


(City or Town)


Veterans Administration Hospital


[(If death occurred in a hospital or institution.


X SX \ give its NAME instead of street and number)


2 FULL NAME.


RIES E LEONARD


(If deceased is a married, widowed or divorced woman, give also maiden name.) 24 Cottage Ave.,


(Was deceased a


U. S. War Veteran.


if so specify WAR)


www I


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


XXXXX


Winthrop Mass.


(If nonresident, give city or town and State)


Length of stay: In place of death


........


... years


10


months.


.days.


In place of residence.


.......... years.


months.


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


August


31


1953


(Month)


(Day)


(Year)


8 SEX


M


9 COLOR OR RACE


10 SINGLE


MARRIED


WIDOWED


or DIVORCED


Married


4 I HEREBY CERTIFY,


8/21


19


to


Thaty Afattended deceased from


10a If married, widowed, or divorced


8/31


19


53


HUSBAND of


Violet Aldrich


XXXXXXXXainXXXXXXXXXXXXXXX .. , death is said to have occurred on the date stated above, at .... 6 ... 04a .m.


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)coronary arterioscler- yrs


osis with coronary


-days


insufficioney


INTERVAL BE- TWEEN DNSET AND DEATH


11 IF STILLBORN, enter that fact here.


12


63


1


AGE


Years


Months.


27


Days


If under 24 hours


Hours ......


. Minutes


ANTE


Due To


CEDENT (b) ...... Pericarditis.


CAUSES


days


(Kind of work done during most of working life)


14 Industry


or Business:


Newspaper


15 Social Security No.


028-16-9523


OTHER


SIGNIFICANT


CONDITIONS


Pyelonephritis.


mons


Major findings:


Of operations.


Date of operation.


Was autopsy performed ?.


yes


What test confirmed diagnosis ?.


autopsy


.. no


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


(Signed).


B .... Barrett


M. D.


(Address)


V ..... ....... ...


Date 8/37


19 .... 53


6 .. woodlawn .Com Place of Burial or Cremation


Everett Mass (City or Town)


DATE OF BURIAL Sep2


19.53


7 NAME OF


FUNERAL DIRECTOR


A Marsh


ADDRESS.


Winthrop Mass.


Received and filed.


7/14/53


19


(Registrar of City or Town where deceased resided)


PARENTS


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Illinois


19 MAIDEN NAME


OF MOTHER


Ries


20 BIRTHPLACE OF MOTHER (City) (State or country)


Illinois


21


Informant


V.A ... Hospital .... Records


(Address)


A TRUE COPY


Est: harles & Mackie


(Registrar of City or Town where death occurred)


DATE FILED


Sop 3


53


.19


-


VIL


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, 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.)


R-302 1


No.


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.


77071 93


(write the word)


13 Usual


Occupation:


Newspaper Editor


Due To Acute pulmonary edema


(c).


and congestion


days


16 BIRTHPLACE (City)


(State or country)


Illinois


Chicago,


17 NAME OF FATHER Edwin H Leonard


25M-3-53-909098


(Give maiden name of wife in full)


DATE OF ENTERING MILITARY SERVICE - 6/28/17


" DISCHARGE


5/2/19


RANK, RATING ORGANIZATION & OUTFIT


PFC U S Army SERVICE NUMBER 164330


.


RECEIVED


.


1


ITHROP.


SEP1%


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, 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.)


X


PLACE OF DEATH


Suffolk (County)


Bos ton


(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.


194.7757


No.


Boston City. .. Hospt.


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.)


(Was deceased a


U. S. War Veteran.


if so specify WAR)


W W #11


(a) Residence. No.


(Usual place of abode)


605 Berrington St


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


8 SEX


M


9 COLOR OR RACE


10 SINGLE


(write the word)


MARRIED


WIDOWED


of DIVORCED Divorced


4 I HEREBY CERTIFY,


That I


attended deceased from


August- 29 .....


53 to.


Sept.2


19 ...


53


I last saw h.


..... alive on


19.


.... , death is said to


have occurred on the date stated above, at


8:05PM


INTERVAL BE- TWEEN ONSET AND DEATH L; Days


11 IF STILLBORN, enter that fact here.


12


AGE.


26 Years


Months.


Days


If under 24 hours


Hours ....


.. Minutes


13 Usual


Occupation:


(Kind of work done dating


ianis Helper ....


14 Industry


or Business:


15 Social Security No.


021-20-3051


16 BIRTHPLACE (City).


(State or country)


Cambridge Mass.


17 NAME OF FATHER


18 BIRTHPLACE OF


William J Schieb


FATHER (City)


(State or country)


East Boston Mass.


19 MAIDEN NAME OF MOTHER


20 BIRTHPLACE OF


Margaret Murphy


MOTHER (City)


Canada


6


Place of Burial or chidathrop Com-Winthro T. "Town) DATE OF BURIAL 19


Sept.5/53


7 NAME OF


FUNERAL DIRECTOR


F J Magrath


ADDRESS


East Boston Mass.


Received and filed. 19


(Registrar of City or Town where deceased resided)


7 Day's


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations.


Date of operation


Was autopsy performed?


What test confirmed diagnosis ?.


clinical


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


(Signed)


I Merlig


(Address)


Boston City Hospe


Pate


19.


9-3 $3 (State or country)


21 Informant (Address) William J Schieb


A TRUE COPY


ATTEST;


(Registrar of City


(Registrar of City or Town where death occurred) Sept.8/53


DATE FILED


19


X


3 DATE OF


DEATH


(Month)


(Day)


(Year)


10a If married, widowed, or divorced


HUSBAND of


Phyllis Carsullo


(Give maiden name of wife in full)


(or) WIFE of.


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH (a)


Cholemia


ANTE


Due To


Infectious


CEDENT (b)


CAUSES


hepatitis


M B Foster Co.


PARENTS


M. D.


25M-3-53-909098


IR-302


FrancisSchieb


Sept. 2/53


RECEIVER


TOW


44


NIM


SEP14


Entered Service 9-23-44 Discharged 2-3-45 A.S. U S Navy Reserve Service No.579 88 80


X


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


Registered No.


1.95


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


Elizabeth L Stidstone


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


16 Woodside Park


St.


(If nonresident, give city or town and State)


Length of stay: In place of death


3


years.


.. months.


days. In place of residence.


.. years.


. ... months


days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


Sept


2


1953


(Month)


(Day)


(Year)


8 SEX


Female


White


10 SINGLE


MARRIED


WIDOWED


or DIVORCEDincl


4 I HEREBY CERTIFY.


Jun


7


1950


to ..


I last saw her alive on


Sept 2


, 1953


death is said to


.m.


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)


Cerebral Hemorrhage


INTERVAL BE- TWEEN OHSET AND DEATH 1 day


11 IF STILLBORN, enter that fact here.


12 88


AGE


Years


2


Months.


10


.Days


If under 24 hours


Hours


Minutes


13 Usual


Occupation :


surse


(Kind of work done during most of working life)


14 Industry


or Business :.


Private


15 Social Security No


None


16 BIRTHPLACE (City).


(State or country)


Newfoundland


17 NAME OF


FATHER


John Stiastone


PARENTS


18 BIRTHPLACE OF FATHER (City) (State or country) Newfoundland


19 MAIDEN NAME


OF MOTHER


Jane Moore


20 BIRTHPLACE OF MOTHER (City) (State or country)


Newfoundland


Place of Burial or Cremation


(City, or Town)


DATE OF BURIAL


19


7 NAME OF


FUNERAL DIRECTOR


Forward & Purnell


ADDRESS


Received and filed.


....... 19


H.O


(Signature of the A&tof. Board of Health or other)


Sept. 433


(Official Designation)


(Date of Issue of Permit)


A TRUE COPY ATTEST:


(Registrar)


3 yrs


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Major findings:


Of operations.


Date of operation.


Was autopsy performed ?.


What test confirmed diagnosis?


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


no


If so, spe ity Louis 7 Salerno M. D.


(Signed) .


175 Pleasant St Date Sept : 1953


(Address) ..


linthrop


6 inthron


Sept. 4


5


21 James Evans


Informant.


(Address)


to woodside Park Inthro


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Waller- G. Bater


50M-(A)-11-51-905807


R-301 1


TIONS R RTIFICATE ving DEATH enter an one r each and (c)


es not mean dying, such e, asthenia, - the disease, ons which


conditions, rise to the (a) stating ing cause


ons contrib- ath but not disease or ing death.


(City or town making return)


16 Woodside Park No.


2 FULL NAME.


(Was deceased a


U. S. War Veteran,


if so specify WAR)


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


3


9 COLOR OR RACE


(write the word)


That I attended deceased from


Sept 2


1953


have occurred on the date stated above, at.


100


ANTE


CEDENT (b)


CAUSES


Due To


Hypertension


st John


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 helief the name of the deceased, his supposed age, the disease of which he died, defined as required hy section one, where same was contracted, the duration ot 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 hy the preceding section or hy 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 horder service of nineteen hundred and sixteen and nineteen hundred and seven- teen. 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 hody 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 hoard, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human hody and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomh 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 he issued until tbere 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, hy a satisfactory certificate of the attending physician, if any, as required hy law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot he obtained early enough for the purpose, or is insufficient, a physician who is a member of the hoard 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 he 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 hody 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 hody 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 heen engaged, sucb recital shall appear upon the permit. The hoard 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 registration. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnisb for registration any other necessary information which can he obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Cbap. 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 hy violence. If a medical examiner has notice that there is within his county the hody of such a person, he shall forthwith go to the place where the hody lies and take charge of the same; ... General ·Laws, Chap. 38, Sec. 6.


No undertaker or other persons shall hury a human hody or the asbes thereof which have heen, brought into the commonwealth until he has received a permit so to do from the board of bealtb or its agent appointed to issue such permits, or if there is. no such hoard, from the clerk of the town where the body is to be huried or the funeral as to'he held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.


Chap./114 ;; Secz.46;G. , (Tercentenary Edition).


HROF RULES OF PRACTICE


The fulfillment of the purpose of these laws calls for the observance of the following rules of practice :


(1) Attending -physicians wip certify to such deaths only as those of persons to whom they inve given hedside 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 disahled 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 hy traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, hut also deaths from disease resulting from injury or infection related to occupa- tion, the sudden deaths of persons not disabled hy 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 he known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had heen given up or changed, or if the deceased had retired from husiness, report the kind of work done during most of working life even if retired. Children not gainfully employed may he 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


×


PLACE OF DEATH


Suffolk (County)


Tilthrop


(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.


196


2 FULL NAME


Frank Elmer Cheney


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


(a) Residence.


No.


(Usual place of abode)


125 Grovers Ave.


St.


(If nonresident, give city or town and State)


Length of stay: In place of death


......


.years


10


months


days. In place of residence


.years


months


.. days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


Lept;


(Monthb


3


$1953


(Year)


8 SEX


I:ale


9 COLOR OR RACE


White


10 SINGLE


MARRIED


WIDOWED


RCED arried


4THEREBY CERTIFY.


. That I attended deceased


from


way


1951


m


to ..


19


53


...


9/3/0, 1953


I last sawCeph alive on


death is said to


have occurred on the date stated above, at


6:06 Ppm.


INTERVAL BE-


TWEEN ONSET ANO DEATH


11 IF STILLBORN, enter that fact here.


12


AGE


78 Years 9


.Months.


6


Days


If under 24 hours


Hours ...


Minutes


13 Usual


Occupation :


(Kind of work done during most of working life)


14 Industry


or Business:


Owner


15 Social Security No.


015-28-6478


16 BIRTHPLACE (City).


(State or country)


Cambridge


OTHER


metroschematic


CONDITIONS


Heart Disease


3 yrs.


Major findings:


Of operations.


Date of operation.


Was autopsy performed?


200


What test confirmed diagnosis ?.


Clinical


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


If so, s


M. D.


(Signed)


(Address)38 theone Drive Date 9/3/ 1993


Cambridge


6 Cambridge


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


Sept. 8


19.53


Howard & Pugnoles


ADDRESS


Received and filed. 19


(Registrar)


PARENTS


18 BIRTHPLACE OF


FATHER (City).


(State or country)


New Hampshire


19 MAIDEN NAME


OF MOTHER


Mary Brown


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


New Hampshire


21 Ruth Cheney


Informant ...


(Address)


125 Grovers Ave. Winthroy


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


Walter G. Baker


HO


(Signature/ Agent of Board of Health of other)


Seel 8/53


(Official Designation)


(Date of Issue of Permit)


VIV


UCTIONS FOR CERTIFICATE


giving OF DEATH t enter than one for each b) and (c)


does not mean f dying. such ure, asthenia, ns the disease. ations which h.


d conditions. ng rise to the : (a) stating lying cause


ions contrib- death but not he disease or ausing death.


SOM-5-52-907046


mis


No.


Winthrop Community Hospital


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)


(write the word)


10a If married, widowed, or divorced


HUSBAND of.


Ruth


Buxton


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


DISEASE OR CONDITION


DIRECTLY LEADING


TO DEATH


(a)


Francia -prolemonica


/wk


ANTE Due Esteis saberstic CEDENT (b) CAUSE gangrene Left leg


4 mos.


5 yrs.


Hotel


17 NAME OF


FATHER


Edwin L Cheney


7 NAME OF


FUNERAL DIRECTOR


winters muss.


33


Registered No.


R-301A 1


(Day) ...


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




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