Town of Winthrop : Record of Deaths 1956, Part 59

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


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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