USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1954 > Part 16
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(a) Residence. No. Somerset .... Terraco (Usual place of abode)
St.
Winthrop Mass
(If nonresident, give city or town and State)
Length of stay: In place of death ........ years. ..... months.22 .. days. In place of residence.
.... years ..
..... months ....
... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
Feb.18. 1954
(Month)
(Day)
(Year)
8 SEX
Malo
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDi dowod
4 I HEREBY CERTIFY,
That I attended deceased from
July ..... 27
19 .... 53.
to
Feb.18
19.54
I last saw h .. ... alive on ....... Feb. 18 ..
19 .. 54death is said to
have occurred on the date stated above, at .. 7:05p
m.
10a If married, widowed, or divorced
HUSBAND of
Ina Jarkin
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) ...
Completo
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE 73 ... Years11.
.. Months ..
.13 Days
If under 24 hours
Hours.
Minutes
13 Usual
Occupation :
Graduate Nurse
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
London, England
17 NAME OF
FATHER
Frederick
Major findings:
Of operations.
Date of operation.
Was autopsy performed ?.
What test confirmed diagnosis? KG & Autopsy
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)Voldomars Jansons
M. D.
(Address)
Date 4/19/54 19
6 urial of Cremation Place of Buna 0pm.Cromatory (Cityof Towny
DATE OF BURIAL Teb 23. 1954
19
7 NAME OF
FUNERAL DIRECTOR
Howard .... Reynolds
ADDRESS
Winthrop, Mass.
Received and filed
LAR +
19
(Registrar of City or Town where deceased resided)
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Virginia Allen
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
Informant.
(Address)
21
Hospital Records
Soldiers!
Home Chelaca
A TRUE COPY
ATTEST:
Joseph a Tyrrell
(Registrar of City or Town where death occurred)
DATE FILED
Feb.19,1954
19
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 50m-(e)-10-48-24658 after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased resided as soon as possible CAUSES
atrioventricular block
2
-yrs
ANTE
Due To
CEDENT (b)
Arteriosclerotic
heart disease
yrs
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Registered No.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(write the word)
(Give maiden name of wife in full)
MAR-C
Enlisted 5/7/17 Discharged 5/17/19 Pfc Co.D.Conv.Ctr.Base Hosp.
6744 C#251515
M R-303 A 1
of Death. See reverse side for extrects from the lews reletive to the return of certificates of death. DEATH In plain terms, so that It mey be properly clessified under the International Classification of Causes Informetlon should be carefully supplled. MEDICAL EXAMINERS should state CAUSE AND MANNER OF N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every Item of If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
PLACE OF DEATH
Sulluck (County)
-Boston 3/8/54
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
47
Registered No.
(City or Town) 68 Bates arc Winthrop J (If death occurred in a hospital or institution, St. [ give its NAME instead of street and number)
No. . John B. Carr. 2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran. None if so specify WAR)
28 Heovement Ct. Chase
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
tel - 19-1954 (Year)
9 SEX
Male
10 COLOR OR RACE
White
11 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED Married
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.) Rt. Coronary Occlusion: ...
11a If married, widowed, or divorced
HUSBAND of.
Frances L. Cronin
(Give maiden name of wife in full)
(or) WIFE of.
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
13
AGE.69 Years
... Months.
Days
If under 24 hours
.Hours ...
Minutes
14 Usual
Occupation :
Hoseman
(Kind of work done during most of working life)
15 Industry
or Business:
Boston Fire Dept.
16 Social Security No.
None
Boston
17 BIRTHPLACE (City).
(State or country)
Mass
18 NAME OF
FATHER
John B. Carr
19 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
20 MAIDEN NAME
OF MOTHER
Catherine B. Sullivan
21 BIRTHPLACE OF
MOTHER (City)
Boston
(State or country)
Mass
22 Informanta Mrs .. Frances L .... Carr
(Address) 68 Bates Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter 6. Baker
(Signature of Asnef Board of Health or other)
HO.
Fab: 20/34
(Official Designation)
(Date of Issue of Permit)
25M-1.52-906135
Winthrop Cemetery Winthrop
7
Place of Burial, or Cremation.
(City or Town)
DATE OF BURIAL
February 22
154
8 NAME OF
FUNERAL DIRECTOR
Daniela Wills.
ADDRESS Dexter Row Charlestown Mass
Received and filed. FER $3 1954 19
(Registrar)
PARENTS
6 Was disease or injury in any way related to occupation of deceased?
If so, specify
Byla Y. Trickley
M. D.
(Signed)
(Address)
toate-19-1054
(How did injury occur?)
Nature of
+ died quickly
Injury
While at work?
Was autopsy performed?
yes
Did injury occur in or about home, on farm, in industrial place, or in public place?
Manner of
(Specify type of place)
Collapsed at his house
Injury
Where did
Injury occur?
(City or town and State)
Rt. ALT. Coronary Sclerosis
Old Cormary Onlarct
...
5 Accident, suicide, or homicide (specify).
Date and hour of injury.
19
(a) Residence. No. (Usual place of abode)
(Month) (Day)
X
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, Scc. 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 imine- 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.º 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, Sce.
45. G. L. as amended by Chap. 48, Acts of 1927 and Chap. 414, Acts of 1931.
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a perinit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made ......... Chap. 114, Sec. 46, G. L., as amended.
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to. have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. ... - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 1945.
.. The medical examiner certifies the cause and manner of death to the best of his knowledge and belief.
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent front 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 traumatistn (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 FER.
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
X
PLACE OF DEATH
SUFFOLK
(County)
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City or town making return)
Registered No.
1762.48
J(If death occurred in a hospital or institution, XStX give its NAME instead of street and number)
2 FULL NAME
BABY GOY GRAVEL
(If deceased is a married, widowed or divorced woman, give also maiden name.) 41 Harborview Ave.,
(a) Residence.
No.
(Usual place of abode)
SK.X.
winthrop
.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
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDSingle
(write the word)
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
2/24
19
to.
2/24
19 ..
54
I last saw halive on.
n
2/24
INTERVAL BE-
TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
Months
......
.Days
If under 24 hours
.. Hours.
4Minutes
13 Usual
Occupation:
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Boston
17 NAME OF
FATHER
Joseph J Travel
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Boston
19 MAIDEN NAME
OF MOTHER
Anne C Welter
20 BIRTHPLACE OF
MOTHER (City)
Father
Informant
(Address)
A TRUE COPY
ATTEST Far
(Registrar of City or Town where death occurred)
DATE FILED
Mar. l.
54
.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).
I Money
M. D.
(Address). Brookline ASS. Date.
3/24 19
5
6 Place of Duri Benedict (city &r Town)
DATE OF BURIAL
Feb 26
19
7 NAME OF
FUNERAL DIRECTOR
J D Fallon & Son
VH Sheehe
-
Received and filed ...
ADDRESS Jam Plain 19
25M-10.53-910621
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,
RM R-302 1
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.)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings:
Of operations.
Date of operation.
.Was autopsy performed ?.
no
What test confirmed diagnosis ?.
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) .... gross ..... promaturity ..
(52mos)
ANTE
Due To
CEDENT (b)
CAUSES
195-4.
death is said to
have occurred on the date stated above. at
.. m.
12 : Top.
3 DATE OF
DEATH
february.
2.4
1954
No.
N E Hospital
(Was deceased a
U. S. War Veteran,
if so specify WAR).
Y
-cannot be learned-
(State or country)
522
A R-301A 1
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. 49
J(If death occurred in a hospital or institution, St. Į give its NAME instead of street and number)
2 FULL NAME
Timothy J. Barter
(If deceased is a married, widowed or divorced woman, give also maiden name.)
63 Summit Ave.
St.
(If nonresident, give city or town and State)
vars. months .. .days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
MARRIED
WIDOWED
or DIYORTEDied
(write the word)
3 DATE OF
DEATH
February 28, 1954
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
..
game
19
51
Feb 28
19
to ....
I last saw hon ..
.. alive on
FEB 27
19.
(, death is said to
have occurred on the date stated above, at 9.00A .m.
INTERVAL BE-
TWEEN ONSET ANO DEATH
11 IF STILLBORN, enter that fact here.
12
AGL77
Years
Months
.. Days
If under 24 hours
Hours ... .. Minutes
13 UsualT
Occupegislature
Reporter
(Kind of work done during most of working life)
14 Industry
or Business:
State
15 Social Security No.
010-03-7038
Boston
16 BIRTHPLACE (City).
(State or country)
Mass
17 NAME OF
FATHER
William H. Barter
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Mary E Ahern
20 BIRTHPLACE OF MOTHER (City) (State or country) Boston
Margaret T. Barter
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
Walter I Makey
Signature of Agent of Board of Health or other)
Health officer 3.1.54
(Official Designation )
(Date of Issue of Permit)
1
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
tions contrib- death but not the disease or causing death.
none
Date of operation.
200
What test confirmed diagnosis?
Was autopsy performed? Electro cardiogiape
5 Was disease or injury in any way related to occupation of deceased?
If so, specify
(Signed)
(Address)
624 Cause
00Date march 195
6 Winthrop
Winthrop (City or Town)
Place of Burial or Cremation
DATE OF BURIAL
Mar 3 1954
19
7 NAME OF
FUNERAL DIRECTOR.
ADDRESS
Winthrop
Received and filed.
(Registrar)
1951
Due To
generalized
ANTE
CEDENT
CAUSES
(b)
abrircherri
1951
Due To (c)
OTHER SIGNIFICANT CONDITIONS
Major findings:
Of operations.
Runde gatan, M. M. D.
50M-3-53-909098
/
No.
63 Summit Ave
.....
PHYSICIAN - IMPORTANT -
(Was deceased a U. S. War Veteran, if so specify WAR)
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death .. years months. days. In place of residence 40
10a If married,,widowsdasderecedr
HUSBAND of
(Give maiden name of wife in full)
Fitzpatrick
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a) ..
Coronary Street dusche
SK
To be filed for burial ·permit with Board of Health or its Agent.
PARENTS
21 Informant (Address) 63 Summit Ave Winthrop
6.
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 ath of a person whom he has attended during his last illness, at the request an undertaker or other authorized person or of any member of the family of e deceased, furnish for registration a standard certificate of death, stating to the st of his knowledge and belief the name of the deceased, his supposed age, the sease of which he died. defined as required by section one, where same was ntracted, the duration of his last illness, when last seen alive by the physician 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 eceding section or by section forty-five of chapter one hundred and four- en, shall. if the deceased, to the best of his knowledge and belief, served in the my, navy or marine corps of the United States in any war in which it has been gaged, insert in the certificate a recital to that effect, specifying the war, and all also certify in such certificate both the primary and the secondary or imme- ate cause of death as nearly as he can state the same. For neglect to comply th any provision of this section, such physician or officer, shall forfeit ten dollars. or the purposes of this section and of sections forty-five, forty-six and forty-seven said chapter one hundred and fourteen, the word "war" shall include the China lief expedition and the Philippine insurrection, which shall, for said purposes, be emed to have taken place between February fourteenth, eighteen hundred and nety-eight and July fourth, nineteen hundred and two, and the Mexican border rvice of nineteen hundred and sixteen and nineteen hundred and seventeen. L. Chap. 46. Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body a town, or remove therefrom a human body which has not been buried, until he s received a permit from the board of health, or its agent appointed to issue ch permits, or if there is no such board, from the clerk of the town where the rson died; and no undertaker or other person shall exhume a human body and move it from a town, from one cemetery to another, or from one grave or tomb her than the receiving tomb to another in the same cemetery, until he has ceived a permit from the board of health or its agent aforesaid or from the clerk the town where the body is buried. No such permit shall be issued until there all have been delivered to such board, agent or clerk, as the case may be, satisfactory written statement containing the facts required by law to be turned and recorded, which shall be accompanied, in case of an original inter- ent, by a satisfactory certificate of the attending physician, if any, as required by w, or in lieu thereof a certificate as hereinafter provided. If there is no attending ysician, or if, for sufficient reasons, his certificate cannot be obtained early ough for the purpose, or is insufficient, a physician who is a member of the board health, or employed by it or by the selectmen for the purpose, shall upon plication make the certificate required of the attending physician. If death is used by violence, the medical examiner shall make such certificate. If such a rmit for the removal of a human body, not previously interred, from one town another within the commonwealth cannot be obtained early enough for the rpose, the certificate of death made as above provided and in the possession of e undertaker desiring to make such removal shall constitute a permit for such moval; provided, that such body shall be returned to the town from which it was moved within thirty-six hours after such removal, unless a permit in the usual rm 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, Ģ. L., (Tercentenary Edition).
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