USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1956 > Part 59
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19
(Registrar)
NURSING
Letizia Arnone
DesTero 9-7.56
No.
Mayflower Rest Home
S(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)
no
(a) Residence. No .. (Usual place of abode)
Length of stay: In place of death ............ years.
3
months.
days. In place of residence.
to.
19.56
Due To
Cerebral Arteriosclerosis
(h)
100M-11-55-916145
Registered No.
itions contrib- death but not o the terminal condition given
- Chapter 137, 1954, requires ans to print or he cause or of death on certificates.
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 deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia) and by the action of chemical (drugs or poisons) thermal, or electrical agents and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. For a woman whose only occupation was that of home housework, write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel, etc. For a person who had no occupation whatever write none.
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING.
....
ORGANIZATION AND OUTFIT
SERVICE NUMBER
........
X PLACE OF DEATH
13. FFOLK (Co KCountySTON
(City or Town)
Veterans Administration Hospt 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 this return)
5172 159
Registered No.
((If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
Michael J. Shoohan
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 452 Shore Irive (Usual place of abode)
Length of stay: In place of death ........... years ........ months. .......... days. In place of residence ......... ... years ....
.months.
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
May
29
1956
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
May 29
56
19
I last saw h ........ alive on 19 death is said to
have occurred on the date stated above, at
m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Acute myocardial
infarction
INTERVAL BETWEEN ONSET AND DEATH
days
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
M
9 COLOR
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Widowed
10a :
married, widowed,
cristino r. Winters
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
AGI
Years
58
9
Months.
21
Days
If under 24 hours
Hours ......
Minutes
13 Usual
Occupation :
Janitor Potired
(Kind of work done during most of working life)
14 Industry or Business :
15 Social Security No ...
16 BIRTHPLACE (City)
(State or country)
Lass
17 NAME OF
FATHER
Tanicl Sheehan
18 BIRTHPLACE OF
FATHER (City)
Bangor
(State or country)
Mo
19 MAIDEN NAME
OF MOTHER
Bridget McGowan
20 BIRTHPLACE OF
MOTHER (City).
Trotand
(State or country)
VA Hospital Records
21 Informant. (Address)
A TRUE COPY
Charles H. Mackie
ATTEST:
(Registrar of City or Town where death occurred)
June 4 56
DATE FILED
19
(Registrar of City or Town where deceased r ">
vrs
OTHER SIGNIFICANT CONDITIONS
Yes
Was autopsy performed ?.
What test confirmed diagnosis?
Autopsy
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
L.J. Marks
M. D.
(Addr VAI, Poston
Date ..
5-22
156
6 Winthrop Com. Winthrop
Place of Burial or Cremation
(City or Town)
June 1 1956
DATE OF BURIAL.
7 NAME OF FUNERAL DIRECTOR E.P. Casciano & Son
ADDRESS Winthrop, Mass
Received and filed. SENT: 21, 112 L 19
50M-11-58.916145
5
ni
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD
(a) Due To Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town Due To (c) resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, (. 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
A R-302 1
2 FULL NAME.
(Was deceased a
U. S. War Veteran,
WWI
if so specify WAR)
St
Winthrop,
T'ass.
(If nonresident, give city or town and State)
May 21
19
56
· to.
1:15₽
(b)
Arteriosclerotic
heart disease
PARENTS
.
1-14-18 9-26-19 Pfc. US Army 1677347
M VS-R3 1-1-56 E OF MAINE. ARTMENT OF HEALTH AND WELFARE
CERTIFICATE OF DEATH
STATE FILE NO.
1. PLACE OF DEATH a. COUNTY Somerset
2. USUAL RESIDENCE Where deceased ied ff institution residence before admission
a.
STATE
Mass.
COUNTY
b. CITY, TOWN, OR LOCATION
c LENGTH OF STAY IN 1b 2 months
Winthrop
Mass.
d. NAME OF
HOSPITAL OR
INSTITUTION
Fairview Hospital
IS. PLACE OF DEATH IN RURAL AREA?
..
IS RESIDENCE IN RURAL AREA?
YES
NO.
f.
IS RESIDENCE ON A FARM?
YES
YES
NO:3
3a. NAME OF DECEASED-First Name! 3b. Middle Name
Jeremiah
5. SEX
6. COLOR OR RACE
Malo White
100- USUAL OCCUPATION(Give kind of werk done most of work rig life even if retired) Retired
10b. KIND OF BUSINESS OR |11 INDUSTRY Police Chief Ireland
BIRTHPLACE (State or foreign country)
12 CITIZEN OF WHAT
COUNTRY?
13. FATHER'S NAME
14. MOTHER'S MAIDEN NAME
15. NAME OF SPOUSE (If Married)
Elizabeth Egan
INFORMANT Address
Hospital records Ska hagen
INTERVAL BETWEEN ONSET AND DEATH A Mo
CAUSE OF DEATH
Conditions if any. wh ch gave rise to above cause (a) stating the under I ng cause last.
DUE TO (b)
PLEASE TYPE OR PR
PART IN OTHER SIGNIFICANT COND TIONS contributing to death but not related to the termina disease condi
n
20. WAS AUTOPSY PERFORMED? YES NO
felix Part II of teni 9)
21a
ACCIDENT
SUICIDE E
HOMICIDE
DEATH DUE TO EXTERNAL VIOLENCE
21€
TIME OF
INJURY
Hour
a m
Month
Dạy Yea
P
216. INJURY OCCURRED WHILE AT NOT WHILE WORK [] AT WORK
21 .. PLACE OF INJURY factory street office bidg
hame
21f
CITY, TOWN OR LOCATION .
COUNTY
STATE
HYSICIAN'S R MEDICAL XAMINER S RTIFICATION
22a. MEDICAL EXAMINER
hereby certty that death occurred /the me the : uses stated above, that held en aves gaf- Topsy
22b. PHYSICIAN: I hereby-cert ty Pos b 6 June ond Inet sow Him the date und
of the deceased from Feb. Death occurred
6 June
The courts dated above
23 SIGNATURE
(Degree or Ille
23b ADDRESS
23c. DATE SIGNED .8 Tune 1956
Richard P. Laney. M.D.
Skowhegso Maatac
24d. LOCATION (City, town, or county) (State)
24Q. B-RIML CREMATI, WLEYAL wFfy
24b. DATE 24c. NAME OF CEMETERY OR CREMATORY
Burial 6/9/56 Winthrop
Winthrop 27-REGISTRAR'S SIGNATURE
25 FUNERAL DIRECTOR ADDRESS
26. DATE RECD. BY LOCAL RI- 6/7/56
Harold M. Lord Skowhegan, Me
---
3c. Last Name
Month
Day
Year
Sullivan
DATE OF DEATH June 6 1956
7. Married X Never Married Widowed Divorced
8. DATE OF BIRTH 1879 April 6
9 .AGE (In yearsți under 1 year) If under 24 hrs. last birthday) Mos. Hrs. Min.
Days
DECEDENT PERSONAL DATA
TYPE OR PRINT NAME
Eugene Sullivan
Mary Mccarthy
17. SOC.SECURITY NO. 18
16. WAS DECEASED EVER IN U.S. ARMED FORCES?
(Yes, no, er unk.) (It yes, give war er dates of service)
19
CAUSE OF DEATH (Enter only one cause per line for (a), (b) and (c). PART
DEATH WAS CAUSED IMMEDIATE CAUSE (a) Carcinoma Head of Pancreas
DUE TO (c)
Bile Nephrogia 10 days
21b
DESCRIBE HOW INJURY OCCURRED E
LACE OF EATH AND USUAL RESIDENCE
Skowhegan
(If net - haspion/ g ve street address
d. STREET ADDRESS 989 Shirley St.
It-ural g ve
NO
c. CITY, TOWN, OR LOCATION
FUNERAL DIRECTOR AND EGISTRAR
of deceased as req red by law
1
THROP.
SEP22
Wirthing
X -
R-302 1
(County OLA POSTON (City of Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF
UNDVE
(City or Town making this return)
5612161
CERTIFICATE OF DEATH
Registered No.
$(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.)
314 Revere St.
St
Win thro p
Mass.
(a) Residence. No. (Usual place of abode)
Length of stay: In place of death ............ years ...
months
1
15
Bin's
In place of residence.
.... years.
months.
.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
(Month)
(Day)
(Year)
4 1 HEREBY CERTIFY,
June 11
56
That { attended deceased
June 11
19.
56"
I last saw h ........ alive on
19.
death is said to
12;45P
DEATH WAS CAUSED BY: IMMEDIATE CAUSE Infarction of myocardium
due to arterio sclerotic c.
thrombosis
3 Hrs
OTHER SIGNIFICANT CONDITIONS
None
Was autopsy performed?
What test confirmed diagnosis ?
5 Was disease or injury in any way related to occupation of deceased?
If so, specify.
(Signed)
VAH Boston
Date
6-11
M. D. 56
19
Winthrop Cem-Winthrop Mass
6 Place of Burial or Cremation June 119rer Town) 19
DATE OF BURIAL.
A JO Maley
7 NAME OF
FUNERAL DIRECTOR
Winthrop Mass.
ADDRESS
Received and filed. OCT : 1956 19
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
10 SINGLE
(write the word)
Married
MARRIED WIDOWED or DIVORCED
10a If married, widowed, or divorgrace McDermott 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
37years
11
3
Months
Days
If under 24 hours
Hours ......
... Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :.
Shipping
15 Social Security No.
010-09-5322
16 BIRTHPLACE (City)
(State or country)
Bost.a Mass
17 NAME OF FATHER Douglas Fagan
18 BIRTHPLACE OF
Boston Mass.
FATHER (City) (State or country)
19 MAIDEN NAME
OF MOTHER
Latitia Gallagher
20 BIRTHPLACE OF
Boston Mass.
MOTHER (City) (State or country)
Hospt Records Boston
21 Informant (Address)
A TRUE COPY
ATTEST:
* Charles H. Zacki
DATE FILED
(Registrar of City or Town where death occurred) June 15/56 19
Removed-1/1/56
(a) Due To (b) 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 (c)
50M -11.55-916145
1.5.
PLACE OF DEATH
No.
Veteran's Adm. Hospt. Bosta
Douglas C Fagan
(Was deceased a
L'. S. War Veteran,
if so specify WAR)
W W #11
(If nonresident, give city or town and State)
8
19
to
have occurred on the date stated above, at
INTERVAL BETWEEN ONSET AND DEATH
raary
(Address)
J W Sawyer
PARENTS
.
Clerk
June 11/56
1
== 130
Entered Service Jan. 18,1942 Discharged Dec.15,194! Aviation Ordnance 2/C U S Navy Service No. 606 13 90
R-301A 1
PLACE OF DEATH
X 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.
162
No.Winthrop Community Hospital
2 FULL NAME.
(If deceased is a married, wanted & divftet woman, give also maiden name.)
(a) Residence. No. 7 Washington Avenue (Usual place of abode)
...... ......
St ..... Lako Porost -Ill.
(If nonresident, give city or town and State)
Length of stay: In place of death ........... years ... 1. . mont: .. 2days. In place of residence ... ......... years. 1 ... months. 1.8.days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Sept.
2
1956
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
July
1956.
to ...
Sept 2
1956
I last saw Ney.alive on
Sept 21
19 I death is said to have occurred on the date stated above, at 11:45 p.m. INTERVAL BETWEEN ONSET AND (a) Cerebral Hemorrhage DEATH 5 wks
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(b) Cerebral Arteriosclerosis
Due To (c)
OTHER SIGNIF CONDITIONS
Thymphatic Leukemia
10 yrs
Was autopsy performed? 200
What test confirmed diagnosis? Clinical
5 Was disease or injury in any way related to occupation of deceased ?- If so, specify.
(Address) Winthrop Moss .Date. 9/2/1956
6 Woodlawn Cemetery
Place of Burial or Cremation
Everett Mass
DATE OF BURIAL September 5 1956 19
7 NAME OF
FUNERAL DIRECTOR
alfred B. March
ADDRESS 174 Wintyron St. Winthrop,
/ SEP 4 1956
Received and filed. 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
10 SINGLE
(write the word)
female
white
10a If married, widowed, or divorced HUSBAND of (Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE.8.4 Years .. 7 ....
Months ... 2 ..... Days"
If under 24 hours
Hours ........ Minutes
13 Usual Occupationretired Welfare Supervisor Kind of work done during most of working life)
14 Industry or Business: Bell Telephone Co.
15 Social Security No ..
none
London
16 BIRTHPLACE (City) (State or country) England
PARENTS
17 NAME OF FATHER James Brooks Smith
18 BIRTHPLACE OF
FATHER (City)
London
(State or country)
England
19 MAIDEN NAME
(Signed)
Charles Lete Muy
M. D.
OF MOTHER
Jane Middleton Hunt
20 BIRTHPLACE OF
MOTHER (City)
London
(State or country) England
21 Informant ... Mrs ...... Herbert L.Budreau-
..... (Address) 7 Washington Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued :
Mass
Walter 6. Saker
(Signature of- Agent of Board of Health or other)
HO.
att
Sept. 41
66
(Official Designation)
(Date of Issue of Permit)
X
UCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
oes not mean of dying, teart failure, etc. It means e, or compli- which caused
>
ns, if any, ave rise to cause (a), the under: cause last.
ions contrib-> death but not the terminal ndition given
Chapter 137, 954, requires s to print or ℮ cause or f death on tificates.
100M .: 1-55.916:45
Registered No.
§ (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)
MARRIED
WIDOWED
or DIVORCED
single
8 yrs,
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
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