USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 62
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(Address) 20 Bremen St. E. Boston
I HEREBY CERTIFY that a satisfactory standard certificate of death wmofiled with me BEFORE the burial or transit permit was lesued : paulen
(Signature of Agent of Board of Health or other)
DU8619
7-17.58
(Official Designation) (Date of issue of Permit)
X
IONS
TIFICATE
DEATH nter .... each and (c)
dying. t failure.
e romplı-
Five to
contrib. but not terminal
pter 137. requires · prist er cause of death .a cates.
SOM-5-57.920348
1
PLACE OF DEATH
No.
also known 88₺
(Was deceased a
U. S. War Veteran,
no
( if so specify WAR)
(write the word)
9 COLOR
white
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
married
years
Boston
.301A
A TRUE COPY ATTEST: Charles it. Mackie City Registrar
SEP 1 91930 4"
X
PLACE OF DEATH
Suffolk
(County)
Boston
(City or Town)
The Commonwealth of Manmarquertta EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
174
OUT - OF - TOWN To be flied for burial permit With Board of Health of Its Agent. #2057
Hahnemann Hospital 1515 Commonwealth Ave. St.frive its NAME instead of street and number, No ..
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
241 Washington Ave.
St.
Winthrop,
Mass.
(a) Residence. No. (Usuai place of abode)
(If nonresident, give city or town and State)
Length of stay: In piace of death
years.
months5days. In piace of residence 32
years _.....
months ...
days.
MEDICAL CERTIFICATE OF DEATH
J DATE OF
DEATH
JULY
(Month)
(Day)
(Year)
4 [HEREBY CERTIFY,
That I attended deceased from
-
YaLy_
.١٢.٢ .
to .
JALY
19%
T
I last saw Halive on
Jacy 2 ... 1955, death is said to
have occurred on the date stated above, at 105m.
INTERVAL
DETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) CEREBRO VASCULAR HEMORRHAGE
Due To
(b)
ERIO- SCARRASCO
20 m
Due To
HMERTENSMY
?
.
OTHER
SIGNIFICANT
CONDITIONS
DIABETES MELLITUS
SYN.
Was autopsy performed!
What test confirmed diagnosis ?_ PHYSICAL EXAM
S Was disease or injury in any way related to occupation of deceased ? A. If so. specify
(Signed)
EL Kanta
. M. D.
(Address)
You DEAMENTE Date Valy 21 1987
6 Pine Grove
Whitinsville, Masa.
Piace of Burial or Cremation
(City or Town) July 24 1958
DATE OF BURIAL
7 NAME OF FUNERAL DIRE OR Winthrop
Howard S Reynolds
Ma88.
ADDRESS
JUL 24 1958
Recorded and Ried.
Charles H. Macker
( Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX Female
9 COLOR
White
MARRIED
WIDOWED
or DIVORCED 1dow
10a If married, widowed, or divorced
HUSBAND of
(Give ·maiden name of wife in fuli)
(or) WIFE of
Robert Clark
( Husband's name in fuil)
11 IF STILLBORN, enter that fact here.
12
AGE85 Years
2 Months
_. Q Days
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 ..
None
16 BIRTHPLACE (City)
(State or country)
Scotland
17 NAME OF
FATHER
Alexander Anderson
18 BIRTHPLACE OF
FATIfER (City)
(State or country)
Scotland
19 MAIDEN NAME
OF MOTHER
Mary McNab
20 BIRTHPLACE OF
MOTHER (City)
(State or country) Scotland
21
Informant
Mary C. Morey
(Address) 2/11 Washington Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death way fied with me BEFORE the burial or, transit permit was issued: 21.1.110
(Signature of Agent of Board of Health or other) DU8614
7-22-58
(Official Designation)
(Date of Issue of Permit)
V.P. V
CTIONS R ERTIFICATE
ving DEATH
.. ...
sad (€)
, ... .... dying. = rempli- ich
(.). lest.
334
restril .- > th bat set Ae termisel ision riera
hapter 137. 4, requires te print er
lentes.
59
R-301A 1
Registered No.
(ff death occurred in a hospital or Institution,
Mary (Anderson) Clark
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
10 SINGLE
(write the word)
PARENTS
Dalery
(c)
A TRUE COPY ATTEST: Charles H. Mackie
SEP 1 81950 AM
X
PLACE OF DEATH
Suffolk (County)
Boston
(City of Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
OUT - OF - TOWN To be filled for burial permit with Board of Health or its Agent. 11 75 17328 Registered No.
St. [give its NAME instead of street and number) No.
2 FULL NAME
James G. CREIGHTON
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
36 Atlantio
St.
Winthrop,
Mass
20 (If nonresident, give city or town and State)
Length of stay: In place of death _.... years
1 months_1days. In place of residence ...... years _...
months _....... days.
MEDICAL CERTIFICATE OF DEATH
J DATE OF
DEATH
July
(Month)
27
(Day)
195.8
(Year)
4 I HEREBY CERTIFY.
That Wettended decessed from
Juno. 26
19_58 10.
July 27
19 58
DOCK, death is said to
have occurred on the date stated above, at _ 7 :45 pm.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Myocardial infarction
INTERVAL DETWEEN OXSET AND DEATH Hours
Due To
Arteriosclerotio beart
(b) ..
disoacs.
Year
EMOIX OTHER SIGNIFICANT CONDITION3: Right lowor lobs atalpotasio
OTHER
station 2 day post-sportiva
SIGNIFICANT
CONDITIONS
Years)
Was autopsy performed?
What test confirmed diagnosis?
Autofy
Clinical
5 Was disease or injury in any way related to occupation of deceased ? If so. specify .
"(Signed)
Robert K Micharthur
Robert K.
MM.D.
. M. D.
(Address) VAH, Boston, l'acs. Dat July 28 1, 58
Winthrop Comatory, Winthrop, Mass. Place of Burial or Cremation (City or Town)
DATE OF BURIAL
July 30
50
19
" NAME OF
FUNERAL DIRECTOR
Alfred B. Marsh
174 Winthrop St., Winthrop, Mast
ADDRESS
JUL 31 1958
19
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Miale
9 COLOR
White
10 SINGLE
(write the word)
MARRIED Married
WIDOWED
or DIVORCED
10a If married, widowed, or divorced
Annie
do Conchan
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 71 Years ._. O Months 2 7 Days
If under 24 hours
Hours __._. Minutes
13 Usual
Occupation :
Brakeman
(Retired)
(Kind of work done during most of working life)
14 Industry
or Business :
Railroad
13 Social Security No ..
023-10-6031
16 BIRTHPLACE (City)
(State or country)
17 NAME OF
FATHER
William H. Creighton
PARENTS
18 BIRTHPLACE OF
Charlestown
FATHER (City).
(State or country)
Massachusetts:
19 MAIDEN NAME
OF MOTHER
unknown
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
unknown
21
Informant
(Address)
V.A. Hospital Records
Boston 30, Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was hled with me BEFORE the burial of transit permit waa Issued: mannen
(Signature of Agent of Board of Health or other)
DO8740
7-30- 58
(Omcial Designation) (Date of Issue of Permit)
Vi Pov
184
BOI'A -
ONS
IFICATE
DEATH ter ... each tad (c)
... .... dying.
rise (.).
last.
contrib. -
pter 137. requires priat er
terminal
eath .a ates.
59
50M-1-68-921376
compli- ......
(a)
Veterans Administration Hospital
[(If death occurred in a hospital or institution,
PHYSICIAN - IMPORTANT
(Was deccased a
U. S. War VeteranATI
if so specify WAR)!
A TRUE COPY ATTEST: 1 Charles it Macker. City Registrar
RECEIVED
SEP 1 81958 AM
PLACE OF DEATH
Suffolk
TIMES
Winthrop
(City or To- .:
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filled for burial permit with Board of Health or its Agent.
176
WINTHROP CONVALESCENT HOME No ..
Edmund Kitson
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
35A Pico Ave.
St.
(If nonresident, give city or town and State)
60
days. In place of residence.
years
.months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
SEPT.
(Month) (Day)
5
1958
(Year)
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
4 I HEREBY CERTIFY,
october
19
56
to
Sept. 5
1958
I last saw hIMalive on
SEPT 3
., 19
58 death is said to
have occurred on the date stated above, at
4.30 pm.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
NEPHRO SCLEROSIS WITH
(a)
UREMIA
INTERVAL
BETWEEN
ONSET AND
DEATH
2 YRS
11 IF STILLBORN, enter that fact here.
12
92
Years
1 ... Months ...
24Days
If under 24 hours
Hours ....... Minutes
13 Usual
Occupation :
Steward
(Kind of work done during most of working life)
14 Industry
or Business :
Yacht Club
15 Social Security No.
027-16-0308
16 BIRTHPLACE (City}
(State or country)
England
17 NAME OF
FATHER
Oawald Kitson
18 BIRTHPLACE OF
Wakefield
FATHER (City)
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Sarah
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Wakefield
England
21 Charles Kitson
Informant
(Address)
35 Pico Ave. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with m BEFORE the burial on transit permit was issued :
(Signature of rent of Books of Health or other)
H, O
(Official Designation)
(Date of Issue of l'ermit)
Next 8-1958
11
1A
IS
ICATE
EATH
er ne ich d (c) t mean dying, failure, means compli- caused
any, e to (a), nder- last.
-
Due To CHRONIC BENIGN PROSTATIC (b)
HYPERTROPHY WITH OBSTRUCTION
Due To GENERAL ARTERIOSCLEROSIS 5 YRS. (c)
OTHER SIGNIFICANT CONDITIONS
KIDNEY CALCULI
Was autopsy performed? No What test confirmed diagnosis: CLINICAL Y LABORATORY
5 Was disease or injury in any way related to occupation of deceased? No If so, specify
(Signed)
myron b. King , M. D.
(Address)
VVV PLEASANT ST WINTHROP
58
Date 9/6
19
6 Winthrop
Winthrop
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
Sept
8
19 58
7 NAME OF
FUNERAL DIRECTOR
Howard New world.
ADDRESS
SEP & 1958 19
Received and filed John a. Sark (Registrar)
PARENTS
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)
(a) Residence. No.
(Usual place of abode)
Length of stay: In place of death
.years
months
14
PERSONAL AND STATISTICAL PARTICULARS
10a If married, widowed, or
HUSBAND of
Neirie Huby
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
13/4/25
Wakefield
ntrib- ut not erminal given
er 137, quires rint or se or th on ...
50M-11-56-918978
1
(County)
That I attended deceased from
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 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 casc 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 hody, 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). 1
Medical examiners shall make cxamination 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 for it's agent appointed to issue such permits, or if there is no such board, froin the clerk of the town where the body is to be buried or the funeral is to he 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. Là, (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 SERs mit ffo 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
A
1
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
No. Winthrop Community Hospital
2 FULL NAME
Edmund Thompson Roach
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ..
243 Winthrop St
St.
(If nonresident, give city or town and State)
(Usual place of abode)
Length of stay: In place of death.
years.
7 months .2 ]days. In place of residence .. 49 years.
.months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
September
5.
1958
(Month) (Day)
(Year)
4 I HEREBY CERTIFY, That I attended deceased from
8/21
19.
9/5
to.
58
19
58
I last saw hiMalive on
9/5
19 518, death is said to
have occurred on the date stated above, at
2 P ..
m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Cirrhosis of Liver
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis ?.
Clinical
5 Was disease or injury in any way related to occupation of deceased? No. If so, specify
(Signed)
Charles Likeman
M. D.
(Addr
Winthrop, mass.
Date 9/6
1958
6
Winthrop Cemetery ... Winthrop, Mass. Place of Burial of Cremation (City or Town)
DATE OF BURIAL September 8.1958 19
7 NAME OF
FUNERAL DIRECTOR
alfred B. March
ADDRESS
174 Wint hrop St. Winthrop, Mass.
Received and filed
John a. Clark
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
10 SINGLE
(write the word)
MARRIED married
WIDOWED
or DIVORCED
male
white
10a If married, widowed, or divorced
HUSBAND of
Violet Estelle Noves
(Give maiden name of wife In full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE 6 2Years.
10Months 1.5Days
If under 24 hours
Hours ..
Minutes
13 Usual
Occupation :
Superintendent
(Kind of work done during most of working life)
14 Industry
or Business Winthrop Water Department
15 Social Security No.
none
Boston
16 BIRTHPLACE (City)
(State or country)
Mass.
17 NAME OF
FATHER
John Andrew Jackson Roach
18 BIRTHPLACE OF
FATHER (City)
Portland
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Ellen Maud Taylor
20 BIRTHPLACE OF
MOTHIER (City)
Economy
(State or country)
Nova Scotia
21
Informant
Ralph E. Roach
(Address)
6 Grant Road Lynnfield, Ctr.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued : Ralph 2 .
(Signature of Agent of Board of Acanth or other)
Left
D-1958
(Official De'signation)
(Date of Issue of Permit)
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).
CATE
ATH
e h (c)
mean lying, ilure, means mpli- aused
ny, to (a). der- ast.
trib -- > t not minal given
137, alres at or or on
50M-11-56.918978
-
X
INTERVAL
BETWEEN
ONSET AND
DEATH
3mos.
PARENTS
1
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 hy 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 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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