Town of Winthrop : Record of Deaths 1956, Part 41

Author: Winthrop (Mass.)
Publication date: 1956
Publisher:
Number of Pages: 534


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 41


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SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


ORGANIZATION AND OUTFIT


SERVICE NUMBER


+


Suffolk


(County)


Bostan


(City or Town)


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF


Boston


(City or town making return)


Registered No.


327102


Peter Bent Drigham Hospt.


[(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.)


360 Riverway


Boston


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


St.


(If nonresident, give city or town and State)


Length of stay: In place of death


.....


.. years


months.


4 days.


40


In place of residence


.years


months.


.days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


3 DATE OF


DEATH


April 1/56


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


March ... 29.


19


56


to


April 1


56


April 1,56


death is said to


10a If married, widowed, or divorcedT rene Ford


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


65y


2


Months


5


Days


If under 24 hours


Hours


. Minutes


13 Usual


Occupation :


(Kind of work done during most of working life)


14 Industry


or Business:


Manufacturer's Agent


15 Social Security No.


Pawtucket R.I.


16 BIRTHPLACE (City).


(State or country)


17 NAME OF


FATHER


William C Davis


18 BIRTHPLACE OF


E.Kingston R.I.


FATHER (City)


(State or country)


19 MAIDEN NAME


OF MOTHER


Lydia Kingsley


20 BIRTHPLACE OF


MOTHER (City)


(State or country)


Rhode Island


21 Informant (Address)


Widow


Mrs -rene


Davis


7 NAME OF


FUNERAL DIRECTOR


M N Peck


East Weymouth Mass.


ADDRESS


JUL .


Received and filed 19


3


(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 VM Cass


(Address)


(Signed).


Peter Bent Brigham Hospt 1-2-56


winthrop bem winthrop Was's"


6 Place of Burial or Cremation


(City or Town)


DATE OF BURIAL


19


Yrs


ANTE


Due To


Arterio sclerosis


CEDENT (b)


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Major findings:


Of operations


Date of operation.


Was autopsy performed?


What test confirmed diagnosis?


autopsy


WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD


25M-5-55-915025 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, CAUSES


1


RM R-302 1


PLACE OF DEATH


No.


S.Frank Davis


(Was deceased a


U. S. War Veteran,


if so specify WAR)


W W #1


8 SEX


M


9 COLOR OR RACE


W


10 SINGLE


MARRIED


WIDOWEDMarried


or DIVORCED


(write the word)


I last saw


h ... 1m .... alive on


have occurred on the date stated above, at


11:45PM.


n.


INTERVAL BE-


TWEEN ONSET


AND DEATH


Term


DISEASE OR CONDITION DIRECTLY LEADINGMyocardial infarction TO DEATH (a)


N.o.


April 5/56


A TRUE COPY


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED


April 6/56


19


CERTIFICATE OF DEATH


Silk Salesman


-


JUL9


(c) resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town Due To


50M.11-55-916:45


PLACE OF DEATH


Middlesex (County)


Arlington (City or Town)


No .. Ring Sanatorium


The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH


Arlington


(City or Town making this return)


103 205


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


2 FULL NAME Patrick Henry Mccarthy M. D.


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


%


117 Highland Ave.


St


Winthrop, Mass.


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


(If nonresident, give city or town and State)


Length of stay: In place of death ........ years ... 5


months.


28days.


In place of residence.1.5.


.. years ......


.months.


.......... days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Male


9 COLOR


White


10 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCEDWidowed


10a If married, widowed, or divorced


HUSBAND of


May Bell Erver


(or) WIFE of.


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


3yrs.


AGE


8.2Years.


Months.


Days


If under 24 hours


Hours.


.Minutes


13 Usual


Occupation :


Medical Doctor


(Kind of work done during most of working life)


14 Industry or Business:


15 Social Security No ...


Chelsea


16 BIRTHPLACE (City)


(State or country)


Mass.


17 NAME OF


FATHER


Charles Mccarthy


18 BIRTHPLACE OF


FATHER (City)


(State or country)


Ireland


19 MAIDEN NAME


(Signed)


William Sharpe, Jr., . D.


M. D.


OF MOTHER


Ellen McDonald


(Address)


Arlington, MassDate May 15 56


6


Woodlawn


Everett Mass.


Place of Burial or Cremation (City or Town)


DATE OF BURIAL


May18


1956


7 NAME OF


FUNERAL DIRECTOR


Arthur J. ONaley


ADDRESS Winthrop, Mass.


Received and filed.


JUN 11 1956


19


(Registrar of City or Town where deceased resided)


PARENTS


20 BIRTHPLACE OF


MOTHER (City) ..


(State or country)


Ireland


21


Informant


Gerard Collier


(Address) 22 Millside Rdi,


Arlington


A TRUE COPY


ATTEST:


(Registrar of City" or Town where death occurred)


DATE FILED


May 18


56


19


1.1.1


3 DATE OF


DEATH


May


(Month)


15th


(Day)


1956


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


Dec ....... 18 .... , 19. 54 to May 15


19.


56


I last saw himMalive on


ay 15


19 ... 5.6 death is said to


have occurred on the date stated above, at 10:00P. .. m.


INTERVAL BETWEEN ONSET AND DEATH


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Cerebral Vascular


Accident (repeated)


Due ToHypertensive Arterio-


(b)


Sclerotic Heart Disease


25yrs


OTHER


SIGNIFICANT


CONDITIONS


Was autopsy performed?


What test confirmed diagnosis Neurological exam.


5 Was disease or injury in any way related to occupation of deceased? If so, specify NO


11


·M.M.


[ R-302 1


WRITE PLAINLY, WILL UNFADING DLAVA INA - KID IS A PERMANENT RECORD


Registered No.


(Was deceased a


U. S. War Veteran,


if so specify WAR)


No


(Give maiden name of wife in full)


RECEIVEF


IF TOWI


1 8 12 1


-


NIW


6


JUN11


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


To be filed for burial permit with Board of Health or its Agent.


104


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


2 FULL NAME Elizabeth ( Campbell) Slocum


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


(a) Residence. No. (Usual place of abodef 10 Underhill street


. St


(If nonresident, give city or town and State)


Length of stay: In place of death ............ years. months days. In place of residence 20years. months ......... .... days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


Ju "(Month) 10 1.9.56


(Day )


(Year)


4 I HEREBY CERTIFY, That I attended deceased from June, 195 0, to .. June 10 1956 HUSBAND of. TOa If married, widowed, or divorced (Give maiden name of wife in full)


I last saw he Yalive on


June 9, 1956 death is said to


have occurred on the date stated above, at 6:30 A.m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Cirrhosis of hiver


INTERVAL BETWEEN ONSET AND DEATH


Due To (b)


Due To (c)


OTHER


SIGNIFICANT


CONDITIONS


Arthritis Khiematoich 5 grs


Was autopsy performed?


What test confirmed diagnosis? Clinical


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


(Signed).


Charles Fiberway


M. D.


(Address) Winthrop Was Date 6/11/ 1956


6


Winthrop Cemetery Winthrop Mads Place of Burial of Cremation


DATE OF BURIAL June 19 1958


7 NAME OF


FUNERAL DIRECTOR


Cieffect 3. March


ADDRESS. 174 Winthrop st. Winthrop


Received and filed JUN 1- 1956 19


(Registrar)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR


10 SINGLE


(write the word)


MARRIED


married


WIDOWED


or DIVORCED


female


white


(or) WIFE of Federick Eugene Slocum


( Husband's name in full)


11 IF STILLBORN, enter that fact here.


12


AGE.


7.7Years .... 5 .... Months.


4 Days


If under 24 hours


Hours ........ Minutes


13 L'sual


Occupation :


housewife


(Kind of work done during most of working life)


14 Industry


or


Business :


own home


15 Social Security No ..


none


16 BIRTHPLACE (City) ....... Summer side (State or country) Canada


17 NAME OF FATHER


18 BIRTHPLACE OF


Daniel Campbell


FATHER (City) (State or country)


Canada


19 MAIDEN NAME OF MOTHER Ann Montgomery


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


21 Informant. Frederick E. Slocum


(Address) 10 Underhill St


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


Mas.S (Signature of Agent of Board of Health or othere Jelalete Ofrecer 6/11/56


(Official Designation ) U (Date of Issue of Permit)


1


VR


1


I. m. m.


R-301A 1


UCTIONS FOR CERTIFICATE giving OF DEATH ot enter than one for each b) and (c)


oes not mean of dying, heart failure, tc. It means > e, or compli- which caused


ns, if any, ave rise to ause (a), the under. ause last.


ions contrib- cath but not the terminal ndition given


Chapter 137, 1954, requires ns to print or cause or e f death on rtificates.


5


100M. 11.55-916145


3yrs


PARENTS


Registered No.


No. .. 10 Underhill Street


PHYSICIAN - IMPORTANT


(Was deceased a


U. S. War Veteran,


if so specify WAR)


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- te"n, 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 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 deathsonly as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.


Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.


SPACE FOR ADDITIONAL INFORMATION


DATE OF ENTERING MILITARY SERVICE


DATE OF DISCHARGE


RANK, RATING


.......


ORGANIZATION AND OUTFIT


SERVICE NUMBER


OFFA


JUN12


1.1


YROR. MASS


MAV


OF TOWA


RECEIVED


V


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


To be filed for burial permit with Board of Health or its Agent.


105


2 FULL NAME. Harold Doane Smith


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


(a) Residence. No. 117 Upland Road


St.


(If nonresident, give city or town and State)


Length of stay: In place of death ..... years .. .. months. .days. In place of residence2 .... .. years months. .days.


MEDICAL CERTIFICATE OF DEATH


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR


male


white


10 SINGLE


(write the word)


MARRIED WIDOWED or DIVORCEparried


10a If married, widowed, or divorced


Helen Augusta Ekman


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 62 Years 7 Months 5 Days


If under 24 hours


Hours .....


Minutes


13 Usual


Occupation :.


salesman and shipper


(Kind of work done during most of working life)


14 Industry


or Business: wholesale canvas awning to.


15 Social Security No ....


022-03-5953


16 BIRTHPLACE (City)


Somerville


(State or country) Mass.


17 NAME OF FATHER William Henry Smith


18 BIRTHPLACE OF


FATHER (City)


Boston


(State or country)


Mass


19 MAIDEN NAME OF MOTHER Rose Maretta Doane


20 BIRTHPLACE OF MOTHER (City). (State or country) Nova Scotia


21


Informant. Mrs ...... Harold D. Smith


I HEREBY CERTIFY that a satisfactory standard certificate6 was filed with me BEFORE the Uefial or transit permit was issued: Walter & Htakes8


... Mas.s. (Signature of Agent of Board of Health or other)


Heatthe Office 6/13/56


Official Designation) (Date of Issue of Permit)


VR


1


PARENTS


DATE OF BURIAL ..... June 12 1956 19 (Address) 117 Holand ad. inthron death


100M.11.55.916145


7 NAME OF


FUNERAL DIRECTOR.


ADDRESS. 174 Winthrop St. Winthrop,


19


Received and filed JUN 13 1956 ....


(Registrar)


3 DATE OF


DEATH


Juno ..


70


1.9.56


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


That I attended deceased from


3 May.


56


to


10 June


56


I last saw h.//alive on


10 June


, 1956, death is said to


have occurred on the date stated above, at 8:15 pm.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a) Carcinoma of liver (metastatic)


INTERVAL BETWEEN ONSET AND DEATH months


years


- (b)


Bronchogenic carcinoma


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Was autopsy performed? no What test confirmed diagnosis ?. Biopsy of liver


5 Was disease or injury in any way related to occupation of deceased? no If so, specify ... Arthur C. Murray M. D. Winthrop, Mas Date 12 June 1956 (Signed


6


Winthrop Cemetery Winthrop


Place of Burial or Cremation (City or Town)


alfred 15. Marsle


No. 117Upland Road


"(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)


(Usual place of abode)


ICTIONS OR CERTIFICATE


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


Does not mean of dying, eart failure, tc. It means , or compli- which caused


is, if any, ve rise to ause (a), the under. ause last.


ions contrib. cath but not the terminal ndition given


Chapter 137, 1954, requires is to print or e cause or f death on rtificates.


10


1.m.


R-301A 1


PLACE OF DEATH


Registered No.


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- te n, 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).




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