Town of Winthrop : Record of Deaths 1958, Part 77

Author: Winthrop (Mass.)
Publication date: 1958
Publisher:
Number of Pages: 566


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1958 > Part 77


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ATTEST: .....


mange where death occurred)


DATE FILED


10-8-


19 .... 58


X


(Registrar of City or Town where deceased resided)


9 SEX


10 COLOR OR RACE


Wht.


11 SINGLE


(write the word)


MARRIED


WIDOWED


or DIVORCED


single


5 Accident, suicide, or homicide (specify)


Date and hour of injury


1958


Where did


Injury occur?


Evere.t.t ...... Mass.


(City or town and State)


Did injury occur in or about home, on farm, in industrial place, or in public place?


Manner of


Injury


(How did injury occur?)


Nature of


Injury


While at work?


Was autopsy performed?


no


no


6 Was disease or injury in any way related to occupation of deceased?


If so, specify .. Andrew D. Guthrie


(Signed)


Medford


10-5


M. D. ,58


.. 19 .. ....


7


Place of Burial, or Cremation.


f8tyg Town) 58


DATE OF BURIAL


19


8 NAME OF


FUNERAL DIRECTOR


Arthur J. O'Maley Winthrop


ADDRESS


Received and filed NO1414958- 19


58


25m-(h)-10-48-24658


of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided as soon as possible 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.)


R-305


1


No.


(City or Town) 80 Jefferson Ave.


Henry L. Murphy


(Was deceased ]] ] & 2


U. S. War Veteran,


winthrolf so specify WAR)


St.


(Address)


.Date. Winthrop


Winthrop


(Specify type of place)


NOV -1


PLACE OF DEATH


Essex


(County) Danve rs


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


Danvers


(City or Town making this return)


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


McElroy, Emma


( Barton)


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


(a) Residence. No .. Winthrop, Ma's


St


(Usual place of abode)


(If nonresident, give city or town and State)


Length of stay: In place of death


.years.


0


months.


15


days. In place of residence ..


.......... years ....


months.


........ days.


MEDICAL CERTIFICATE OF DEATH


3 DATE OF


DEATH


October


26,


1958


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY,


July 11


158


to.


Oct ...


26


58


I last saw h ........ alive on


c't.


20


death is said to


have occurred on the date stated above, at


INTERVAL


BETWEEN


ONSET AND


DEATH


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


Bronchopneumonia


days


Due To (b)


Due To (c)


OTHER


Generalized Arteriosclerosis


SIGNIFICANT CONDITIONS


yrs.


Was autopsy performed?


Clinical&Laboratory


What test confirmed diagnosis


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


(Signe


Andrew Nichols, III


M. D.


(Address)


Hathorne, Mass


.Date


10/26/58


Riverside Cem.,-Saugus , Lass.


Place of Burial or Crematien. 28 ,


(City or Town) 58


DATE OF BURIAL 19


.........


7 NAME OF


Howard S. Reynolds


FUNERAL DIRECTOR. inthrop, Mass


ADDRESS


Received and filed


19


(Registrar of City or Town where deceased resided)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


Female


9 COLOR


white


10 SINGLE


MARRIED


WIDOWED LOWed


or DIVORCED


10a If married, widowed, or divorced


HUSBAND of


(Give maiden name, of wife in full)


(or) WIFE of


William J. McElroy


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


120 g


AGEO


5.


Years


11


Days


If under 24 hours


Hours


Minutes


13 Usual


Occupation :


Unable to work


(Kind of work done during most of working life)


14 Industry


or


Business :


15 Social Security No ..


unk.


16 BIRTHPLACE (City)


(State or country)


KasS.


17 NAME OFJames Barton FATHER


PARENTS


18 BIRTHPLACE OF


Boston ,


FATHER (City)


(State or country)


19 MAIDEN NAME


OF MOTHER


NAMFry Stevens


20 BIRTHPLACE OF


MOTHER (City).


(State or country)


Naine


Chelsea,


21


Mar


E. Shechan


Informant


(Address)


Hathorne, las.


A TRUE COPY


ATTEST:


DanielJ. Toomey


(Registrar of City or Town where death occurred)


DATE FILED


11/6/58


19


X ....


Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town


at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased


resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)


25M-8-56-910227


R.302 1


(City or Town)


No. .. Danvers State Hoss., Hathorne


(Was deceased a


U. S. War Veteran O


if so specify WAR)


(write the word)


That I attended deceased from


-. ,


1:45 P.


.m.


no


SauEUS ,


NOV 17/ 32 .


X


Essex


(County) Danvers


(City or Town) Danvers State Heppital, hathorne No.


The Commonwealth of Massachusetts Danvers EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH Registered No.


(City or Town making this return)


$(If death occurred in a hospital or institution,


St. { give its NAME instead of street and number)


2 FULL NAME Harry Rosenberg


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


363 Shirley St., winthrop, Mas


St


(If nonresident, give city or town and State)


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


MEDICAL CERTIFICATE OF DEATH


3 DATE OF October


DEATH


26,


1958


(Month)


(Day)


(Year)


4 I HEREBY CERTIFY


That I attended deceased


58


from


April 10


50


Oc't 26


,


,


... ,


19


10/26/58


death is said to


have occurred on the date stated above, at


m.


INTERVAL BETWEEN ONSET AND DEATH


days


Due TGeneralized Arterioscle- (1)


rosis


yrs.


Due To (c)


OTHER


rteriosclerotic Ht.


SIGNIFICANT


CONDITIONS


Disease


yrs.


Was autopsy performed?


Clinical&Laboratory


What test confirmed diagnosis ?.


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


Andrew Nichols, III


(Signed)


Hlathorne, Nass 10/26/58 19.


Date.


Chevra The lemi, test Roxyme ! Hass


6 Place of Burial or Croce. 27,


(City or Town) 58


DATE OF BURIAL.


19


7 NAME OF


FUNERAL DIRECTOR


Dor chester, Lass.


ADDRESS


NOV 17 1952


19


(Registrar of City or Town where deceased resided)


PERSONAL AND STATISTICAL PARTICULARS


8 SEX ale


9 COLOR


White


10 SINGLE


(write the word)


MARRIEDivorced


WIDOWEDL


or DIVORCED


10a If marriedpridoweq, okdhverthman orCLayman HUSBAND of


(Give maiden name of wife in full)


(or) WIFE of


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


1270


7


9


If under 24 hours


Hours ........


Minutes


13 Usual


Sales: an - Retired


Occupation :


(Kind of work done during most of working life)


14 Industry or Business :


15 Social Security No ._.


unk.


16 BIRTHPLACE (City)


(State or country)


England


17 NAME OFAbraham Rosenberg FATHER


18 BIRTHPLACE OF


unk.


FATHER (City) ..


(State or country)


Russia


19 MAIDEN NAME


Rebecca, maiden name unk


OF MOTHER


20 BIRTHPLACE OF


unk.


MOTHER (City) ..........


"itussia


(State or country)


C. Sheahan


Hathorne, was.


A TRUE COPY Powinny Toomey


ATTEST:


(Registrar of City or Town where death occurred)


DATE FILED


Oct. 31,


58


... 19


X


Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town


at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased


resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.)


PLACE OF DEATH


R-302 1


25M-8-56-918227


Received and filed.


J. Stanetsky & Son


M. D.


(Address).


PARENTS


21 Informant. (Address)


(Was deceased a


U. S. War VeteranO


if so specify WAR)


(a) Residence. No (Usual place of abode) 10 6


24


19.


I last saw h ........ alive on


5:30a.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


Cerebral Vascular Accident


(a)


no


AGE


Years.


Months ......


Days


NOV 17524


PLACE OF DEATH


Suffolk (County)


Winthrop (City or Town)


NEVER 2 12-5-58


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.


Registered No. 220


No. Winthrop Community Hospital


[Jak Girl


Holland


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


(a) Residence.


No.


15 Clark RdN


St.


REVERE. Mas S


(Was deceased a


U. S. War Veteran,


if so specify WAR)


NO.


(Usual place of abode)


25 minutes


(If nonresident, give city or town and State)


Length of stay: In place of death.


years


months


days. In place of residence.


.... years.


months.


days.


PERSONAL AND STATISTICAL PARTICULARS


8 SEX


9 COLOR


10 SINGLE


(write the word)


MARRIED


WIDOWED


single


or DIVORCED


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


Years


Months


Days


If under 24 ours


Hours20Minutes


13 Usual


Occupation :


none


(Kind of work done during most of working life)


14 Industry


or Business :


none


15 Social Security No ...


none


16 BIRTHPLACE (City)


(State or country)


Mass


17 NAME OF


FATHER


Donald Sheldon Hyland


18 BIRTHPLACE OF


FATHER (City)


Volga


(State or country)


South Dakota


19 MAIDEN NAME


OF MOTHER


Milicent Madge Russell


20 BIRTHPLACE OF


Revere


MOTHER (City)


(State or country)


Mass.


21


Informant


Donald S. Hyland


(Address)


15 Clark Road Revere Mass.


I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit' was issued : Tabele terrance &


(Signature of Agent of Board of Health or otbier)


Thatthe 11/3/58


(Official Designation)


UJ


(Date of Issue of Perniit)


X


3 DATE OF


DEATH


11


1


(Month)


(Day)


(Year)


That I attended deceased from


4 I HEREBY CERTIFY,


11-1-


50


19


to


11- 1


I last saw h Ľalive on


il - 1 -


19:50, death is said to


have occurred on the date stated above, at 56 2.5.12 m.


INTERVAL BETWEEN ONSET AND DEATH


DEATH WAS CAUSED BY: IMMEDIATE CAUSE


(a)


frematins ity


Due To (b)


Due To (c)


OTHER SIGNIFICANT CONDITIONS


Was autopsy performed?


What test confirmed diagnosis?


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


(Signed) Reduce Had gone , M. D.


(Address) 44 WashingLodami


11-1


... 19.22


6 Winthrop Cemeterahref Winthrop, Mass Place of Burial or Cremation (City or Town)


DATE OF BURIAL November 3,1958 19


7 NAME OF


FUNERAL DIRECTOR Walked B. Marsle


ADDRESS


174 Winthrop St. Winthrop, Mass.


Received and filed


NOV 3 1958


19


(Registrar)


PARENTS


50M-5-57-920345


301A 1


IONS


TIFICATE ng DEATH nter one each nd (c)


not mean dying, failure, It means compli- caused


if any, rise to (a), under- last.


contrib- but not terminal on given


pter 137, requires print or ause or eath on


ates.


[(If death occurred in a hospital or institution,


St. [give its NAME instead of street and number)


PHYSICIAN - IMPORTANT


2 FULL NAME


MEDICAL CERTIFICATE OF DEATH


female


white


Winthrop


Viih,


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 ncarly 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 dicd; 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 selcctmen 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 removalal; 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 sooncr 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


Suffolk (County)


Winthrop


(City or Town)


No


6 Central St


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


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


Registered No.


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


2 FULL NAME James R King


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


6 Central St.


St


(If nonresident, give city or town and State)


3


Length of stay: In piace of death ... .. years months .days. In place of residence. .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 DIVORCED Married


10a If married, widowade or ivone Lean HUSBAND of (Give maiden name of wife in full)


(or) WIFE of.


(Husband's name in full)


11 IF STILLBORN, enter that fact here.


If under 24 hours


Hours ........ Minutes


13 Usual


Occupation :


Fisherman


(Kind of work done during most of working life)


14 Industry


or Business :


Fish


15 Social Security No.


16 BIRTHPLACE (City)


(State or country)


Nova Scotia


17 NAME OF FATHER George King


18 BIRTHPLACE OF FATHER (City) (State or country) Nova Scotia


19 MAIDEN NAME


M. D. OF MOTHER Mary Proctor


20 BIRTHPLACE OF


MOTIIER (City) ..


(State or country)


Novia Scotia


6


Place of Burial or Cremation


(City or Town)


DATE OF BURIAL Nov 12 19.5.8


7 NAME OF


Ernest P Caggiano


ADDRESS


147 Winthrop St Winthrop


.


MON TO 1958


Received and filed. 19


(Registrar)


PARENTS


21 Mrs Annie L King


Informant. (Address) 6 Central St Winthrop


1 HEREBY CERTIFY that a sansfactory standard certificate of death waIled with/me/ BEFORE the burial or transit permit was issued: Halble C. Tereaunty .


(Signature of Agent of Board of Health or other) Healthy Office 11/10/58


( Official Designation ) (Date of Issue of Pormit)


PHYSICIAN - IMPORTANT (Was deceased a U. S. War Veteran, if so specify WAR)


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


3


1458 (Year)


(Month)


(Day)


That I attended deceased from


I last saw hun alive on


V


19.5. T, death is said to


have occurred on the date stated above, at 1205 0 m.


DEATH WAS CAUSED BY: IMMEDIATE CAUSE (a) Ba Bronchopneumonia


Due


(b)


Cerebral Heninhane


Due To HyperTension


(c)


10 mg


OTHER Nad-cerebra F CONDITIONS Hemhage 1903


Was autopsy performed?


What test confirmed diagnosis?


dencial exam


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


(Signed)


(Addre Holy Cross Malden Mass


Date 119


100M.11.55-916145


301A 1


ONS


TIFICATE


ng DEATH nter one each and (c)


not mean dying, failure, It means r compli- caused


if any, rise to (a), under- last.


contrib. but not terminal ion given


apter 137, requires o print or cause or


death on cates.


3 DATE OF


DEATH


Mar 9,


4 I HEREBY CERTIFY


19 55


to


19.


INTERVAL BETWEEN ONSET AND DEATH Nove/05 12 AGE 80 Years Months ... .. Days®


022-14-6885


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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