USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1955 > Part 74
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CONDITIONS
Major findings:
laparotomy, liver biopsy
Of operations
Date of operation
10/5/55
.. Was autopsy performed ?. no
What test confirmed diagnosis ?.
clinical
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
M. D.
(Address)
Date.
10/1819 55
6
Winthrop Cem Place of Burial or Cremation (City of Town) 5$
DATE OF BURIAL
19
21
Informant
(Address)
A TRUE COPY
opo Charles H. MackAD.
ATTEST:
(Registrar of City of Town where death occurred)
Received and filed.
DEC 2 1955
19
55
DATE FILED
Oct 24
......
19
(Registrar of City or Town where deceased resided)
10a
If married, widowed, or divorced
HUSBAND of.
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
Years.
Months
Days
13
If under 24 hours
.Hours ....
Minutes
13 Usual
Occupation:
Housewife
(Kind of work done during most of working life)
14 Industry
or Business:
At home
15 Social Security No.
Boston, Hast
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
Frederick Pragge
PARENTS
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Germany
19 MAIDEN NAME
OF MOTHER
Catherine MeVoy
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
Elmer E George
7 NAME OF
FUNERAL DIRECTOR
H.Reynolds
Winthrop Mass
ADDRESS
Mass General Hospital No.
CATHERINE T GEORGE
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Winthrop, fas's
(a) Residence.
No.
(Usual place of abode)
30
8 SEX
9 COLOR OR RACE
10 SINGLE
(write the word)
MARRIED
Widow
WIDOWED
or DIVORCED
@ last saw h ........ alive on,
10/18
1955
(Give maiden name of wife in full)
clifford E Goorgo
63
25M.5-55-915025
(Signed)
cciay
Winthrop, Hass
Oct 21
X
M R-302 1
1 D. 1
DEC -- 2
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
SUFFOL_ BOSTON (County)
(City or Town)
N E Center Hospital 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.
9590 226
f(If death occurred in a hospital or institution, 6t. [ give its NAME instead of street and number)
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.) 68 Locust
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
......... years ............ monthsL ....... days. In place of residence .........
.years ..
.. months.
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
October
20
1955
(Month)
(Day)
(Year)
8 SEX
M
9 COLOR OR RACE
W
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
4 I HEREBY CERTIFY,
That
I
attended deceased from
10/7. 19
to.
10/20
55
HUSBAND of
I last saw
h.1ma ..... alive on
10/20
1955
death is said to
have occurred on the date stated above. at ........ 00 m.
INTERVAL BE- TWEEN ONSET AND DEATH not Imown
11 IF STILLBORN, enter that fact here.
12
66
AGE
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:
Dry goods
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
Russia
17 NAME OF
FATHER
Israel Wallace
PARENTS
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Russia
19 MAIDEN NAME
OF MOTHER
-cannot be learned-
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Russia
21 Informant. (Address)
A TRUE COPY
harles 21. Mackie
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Oct 24
.......
19 ...
55
LIV
1
M R-302 1
25M-5-55-915025
6 Cong Chevra Chai Odom W Roxbury Place of Burial or Cremation
DATE OF BURIAL. Oct 21
(City or Town) 55
7 NAME OF
FUNERAL DIRECTOR
H Torf
Brookline, Mass
ADDRESS.
DEG & TV
19
(Registrar of City or Town where deceased resided)
10a If married, widowed, or divorced.
Colla Cohen
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a)
Carcinoma of lung
ANTE
CEDENT (b)
CAUSES
Due To
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Major findings: Of operations.
Was autopsy performed?
no
What test confirmed diagnosis?
no
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed)
O L Bloom
(Address) NECH
Date.
10/201 155
Received and filed.
115.
JOSEPH D WALLACE
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Winthrop,
fiass
(a) Residence. No. (Usual place of abode)
---
Date of operation.
biopsy of lymph node
Salesman
RACLIVE.
TO .
6
DEC-2
X
SUFFOLK BOSTON (County)
(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.
972227
J(If death occurred in a hospital or institution,
·St.
give its NAME instead of street and number)
2 FULL NAME ..
JOSEPHINE HASTA
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 48 Bellevue Ave
xfxWinthrop ..
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
October
.26
1955
(Month)
(Day)
(Year)
8 SEX
F
9 COLOR OR RACE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED Widow
4 I HEREBY CERTIFY,
10/189
to
10/26"
19
I last saw h ... @T ... alive on
10/26
19 ...... ,Heath is said to
have occurred on the date stated above,
10:20g
.. m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
67
AGE.
Years
Months.
Days
If under 24 hours
Hours ..
Minutes
13 Usual
Occupation:
Housewife
14 Industry
or Business:
Com ... homo
15 Social Security No.
16 BIRTHPLACE (City).
(State or country)
Italy
17 NAME OF
FATHER
David Cargiulo
18 BIRTHPLACE OF
FATHER (City).
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Grace DeAngelis
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Italy
21
Informant.
Mrs Grace Mckay
(Address)
A TRUE COPY
opy hardy 21 Zack
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED
Oct 31
.55
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)
H Goldblatt
M. D.
(Address)
BIH
10/26 55
6 Place of Burial or Gremation
Malde 4:33
DATE OF BURIAL.
Oct 29
19
5
7 NAME OF
FUNERAL DIRECTOR.
M Bunke
ADDRESS
Boston ...... Mass
Received and filed. DEC 8 1956 19
25M-10-53-910621
PLACE OF DEATH
M R-302 1
WRITE PLAINLY, WITH ONFADING 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 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.)
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
hypertension
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
Ponziano .... Nasta
(Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
frontal lobe
glioma
That I attended deceased from
(write the word)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(Usual place of abode)
Beth Israel Hospital No.
X
(Kind of work done during most of working life)
RECEIVED
OF TOM
il 12 1
.
6
HROP.
DEC-8 AM
R-301A 1
PLACE OF DEATH
Suffolk (County)
Vinthrop (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.
228
J(If death occurred in a hospital or institution, St. [ give its NAME instead of street and number) No.
2 FULL NAME Villiam G. Wells
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
52 Sea View Ave ..
...... St.
(If nonresident, give city or town and State)
Length of stay: In place of death
years.
months.
8
days. In place of residence
65
.years.
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
November 6, 1955
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
our
19 45
to ..
now
6
55
I last saw h www alive on
nous
1955
.. , death is said to
have occurred on the date stated above, at.
10Pourm.
10a If married, widewed, g
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
66 Years
Months
Days
If under 24 hours
Hours .... ... Minutes
13 Usual
Occupation:
Ret Lt. Police
(Kind of work done during most of working life)
14 Industry
or Business:
Police
15 Social Security No ..
East Boston
16 BIRTHPLACE (City)
(State or country)
Mass
17 NAME OF
FATHER
George E. Vells
18 BIRTHPLACE OF
FATHER (City)
East Boston
(State or country)
Mass
19 MAIDEN NAME
OF MOTHER
Catherine E. Haley
20 BIRTHPLACE OF
Boston, ...
MOTHER (City)
(State or country)
Mass
21 Informant Mildred E. Wells (Address) 52 Sea View 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 of Frakes (Signature of Agent of Board of Health or other) Thealle Officer 11/7 /55
(Official Designation)
(Date of Issue of Permit)
V.Bv
ICTIONS OR ERTIFICATE iving F DEATH tenter 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 ying cause
ons contrib- leath but not e disease or using death.
5.
100M-10-53-910621
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
ADDRESS
Winthrop Mass.
NOV & 1955 19
(Registrar)
INTERVAL BE- TWEEN ONSET AND DEATH 1 year
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Bronchopneumonia
2 mento
Major findings:
Of operations.
Date of operation.
.Was autopsy performed ?.
no
What test confirmed diagnosis ?.
X-Rays. ecq.
5 Was disease or injury in any way related to occupation of deceased? NO
If so, specify.
(Signed)
+47 Chuleyst wir thop unadate Now
M. D.
1955
6 Winthrop
Yinthrop
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
November 9
1955
PARENTS
8 SEX
Male
9 COLOR OR RACE
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEMarried
Mirardivorced
Dunn
(Was deceased a
U. S. War Veteran,
if so specify WAR)
PHYSICIAN - IMPORTANT
Registered No.
Winthrop Community Hospital
Received and filed.
DISEASE OR CONDITION
DIRECTLY LEADING
TO DEATH (a).
congestive heart failure
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 ninetcen hundred and seventecn. 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 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.
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 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., (Tercentenary Edition).
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 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
October 4, 1917
DATE OF DISCHARGE
July 17, 1919
RANK, RATING Serg 't
ORGANIZATION AND OUTFIT. Military PoliceCorps
SERVICE NUMBER 1665594
1665574
R-301A 1
X PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
No.
Bay View Nursing Home
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.
229
Registered No.
[(If death occurred in a hospital or institution. St. Į give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
(if so specify WAR)
N.O ..
(a) Residence. No. 45 ..... Valdemar ..... A.ve .. (Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In place of death
.1.years ..
.. 6.months.
days. In place of residence
2 ..... years ..
months
.days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
DEATH
November
9.
1955
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY.
55
19
That I attended deceased from
Feb. 2,1953
to
Nov. 9,
I last saw
h ..
er alive on
Nov.
CO
... 55death is said to
have occurred on the date stated above, at.
12:30p
m.
INTERVAL BE- TWEEN ONSET AND DEATH
11 IF STILLBORN, enter that fact here.
12
16day SAGE .. 85 Years
.. 9 ... Months
1Days
If under 24 hours
.. Hours . . Minutes
13 Usual
Occupation :
housework
(Kind of work done during most of working life)
14 Industry
or Business:
own home
15 Social Security No.
mone
16 BIRTHPLACE (City)
Alsace Loraine
3 yr . (State or country) France
OTHER
SIGNIFICANT
CONDITIONS
Arteriosclerotic &
hypertensive heart
Major findings: on Of operations.
disease
bronchial asthma
5.yr$
Date of operation.
none
.Was autopsy performed?
.no
What test confirmed diagnosis ?.
Clinical & Laborator
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Address), ghtheos-FI
E. Iva
„Date Nov .10/55
Forrest Dale Cemetery Holyoke , Mass Cremad Bonor fre ation awn (City or Town)
DATE OF BURIAL ......
Nov. 18. 1955
.19
7 NAME OF
FUNERAL DIRECTOR.
Defruits March
ADDRESS
Received and filed NOV 10 1955 19
(Registrar)
PARENTS
17 NAME OF
FATHER
Joseph Bollecker
18 BIRTHPLACE OF
FATHER (City)
Alsace Loraine
(State or country)
France
19 MAIDEN NAME OF MOTHER Catherine Schyler
20 BIRTHPLACE OF
-
M. /P
MOTHER (City)
Alsace ..... Loraine
(State or country)
France
21
Informant
Edward .... E ...... Becher
(Address)
130 Circuit Road Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was issued: Matter A . Halage &. (Signature of Agent of Board of Health or other)
Thealite the cek
16/10/50
(Official Designation) (Date of Issue of Permit)
JCTIONS OR CERTIFICATE iving F DEATH t enter han one or each ) and (c)
Does not mean dying, such ure, asthenia. s the disease. tions which
conditions, g rise to the (a) staling ying cause
ons contrib- death but not e disease or using death.
50M-10-52-908091
2 FULL NAME Louise Alfonsine ... Becher
(If deceased is a married, widowed or divorced woman, give also maiden name.)
8 SEX
female
white
9 COLOR OR RACE
(write the word)
10 SINGLE
MARRIED
WIDOWEDWidowed
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of.
Edward Franz Becher
Give maiden name of wife in full)
(or) WIFE of (Husband's name in full)
DISEASE OR CONDITION
DIRECTLY LEADING bar pneumonia
TO DEATH (a)
left lower lobe lung
ANTE
Due To
CEDENT (b)
CAUSES
Due To (c)
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.
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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