USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1959 > Part 45
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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 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. 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 onbi 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 from home when the certificate of death is feed whose physician is absent
(3) Medical Examiners will investigate andtertify 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.
AUG 1 01959 PM
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
PLACE OF DEATH .... Winthrop
Suffolk (County)
(City or Town)
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS MEDICAL EXAMINER'S CERTIFICATE OF DEATH
To be filed for burial permit with Board of Health or its Agent.
Registered No.
....
No. Waters off Yirrell Beach.
S(Ii 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,
no
[if so specify WAR)
......... St Winthrop, Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death .............. years .............. months .............? lays. In place of residence ...
.8 .... years ............ months ............ days.
PERSONAL AND STATISTICAL PARTICULARS
9 SEX
10 COLOR
11 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
married
male
white
11a If married, widowed, or divorced
HUSBAND of
MaryJane MacArthur
(or) WIFE of
(Give maiden name of wife in full)
SUTHERLAND
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
13
AGE ... 82 .. Years.4.
Months23.
.. Days
If under 24 hours
Hours
Minutes
14 Usual
Occupationretired guard ..
(Kind of Work done during most of working life)
15 Industry
or Busine First National Bank
16 Social Security No. ......
020-14-5330
17 BIRTHPLACE (City)
(State or country)
Nova Scotia
18 NAME OF FATHER Donald MacArthur
19 BIRTHPLACE OF
FATHER (City)
Cane Breton
(State or country)
Nova Scotia
20 MAIDEN NAME
OF MOTHER
Mary Jane Macintosh
21 BIRTHPLACE OF
MOTHER (City)
Cane Breton
(State or country)
Nova Sentia
22
Informant
Minnie B. Porsons
(Address)
12 EJOT. St.Pt. Shirley
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial. or transit permit was issued :
ADDRESS 174 Winthrop St. Winthrop, Mass, / (Signature of Agent of) Board of Health for other)
Thealeto Oficer
8/11/59
(Official Designation)
(Date of Issue of Permit)
.
frango
M. D.
Michael .A. Luongo,.M .... D.,.
....
(Address) Boston, Mass. „Date. 8 9 ...... 1959
7 Woodlawn Cemetery Everett Mass Place of Burial, or Cremation. (City or Towit
.. 19
8 NAME OF
FUNERAL DIRECTOR
Alfred 13. March
Received and filed .. 19
(Registrar)
PARENTS
2 FULL NAME
NEIL .... MacARTHUR
(a) Residence. No.
12.Elliot ... Street
(Usual place of abode)
MEDICAL CERTIFICATE OF DEATH
(Monthi)
(Day)
(Year)
5 Accident, suicide, or homicide (specify) .... A.c.c.ident
Date and hour of injury
August 8
.. 19 .... 5.9
IF ACCIDENTAL, was injury causally related to the death?
Where did
Manner of
(Specify type of place)
Injury
(How did injury occur ?)
Nature of
Injury
Drowning
If
(Signed) che
( Print or Type Signature)
If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
of Death. See reverse side for additional information. See also Chap. 38, §§ 6, 20; Chap. 46, §§ 9, 10; Chap. 114,
§§ 44-48.
DEATH in plain terms, so that it may be properly classified under the International Classification of Causes
information should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF
DATE OF BURIAL
2net 12 1959
25M-3-59-924934
I. D .- WRITE PLAINDI, WITH ONPAVING PLACA INA-THIS IS A PERMANENT RECORD. Every item of
While at work ?
Was autopsy performed ?
Yes
3 DATE OF
DEATH
August
8
1959
4I HEREBY CERTIFY that I have investigated the death of the person above named and that the CAUSE AND MANNER thereof are as follows: (If an injury was involved, state fully.)
Asphyxia due to drowning following collapse due to coronary sclerosis and .. myocardial ..... infarction ..
Injury occur ?
Winthrop Massachusetts
(City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in public place Waters off Yirrell Beach
Cane .... Breton
6 Was disease or injury in any way related throccupation of deceased ?.
1'S
M R-303 A 1
(If deceased is a married, widowed or divorced woman, give also maiden name.)
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
RECEIVED
ORGANIZATION AND OUTFIT
SERVICE NUMBER
1
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those boffpersons 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 poison) 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
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause the nature of an injury and of its consequences; and (2) under manner the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a collision of railroad train and automobile." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether ad- ministered as a surgical anaesthetic for (enter name of operation and disease or condition requiring surgery)." "Frac- ture of the skull with associated internal injury sustained under circumstances unknown."
If disease or injury was related to occupation, specify. If investigation shows the death to have been due to disease, specify: (1) Under cause its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
R-302 1
PLACE OF DEATH
Essex
(County)
No. Andover
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
(City OF takn malike (thị Caurn)
139
No. ... Pinecrest ... Nursing .... Home
§ (If death occurred in a hospital or institution, St. { give its NAME instead of street and number)
2 FULL NAME Marie Eugenie (Ouellette) Vraux
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No. 12 Court Rd.
Winthrop Mass
St
(Usual place of abode)
(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
DEATH
August 11
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
July 16. 19.
58
Augus .... 11 ...
19 ..
59
I last saw h ........ alivi on
Aug
10. 19 .......... , death is said to
have occurred on the date stated above, at 5.45 €
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Carcinoma of. colon
(a)
Due To (b)
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed? What test confirmed diagnosis?
no
5 Was disease or injury in any wayPelatedo quynation of deceased? If so, specify
(Signed) Dr. Charles F. Leo
M. D.
(Address) 93 Ilm St. No. Pay 6/13 .19 59
Sacred Heart Cem. Andover, Lass (State or country)
Place of Burial or Cremation
DATE OF BURIAL August 13, 1959 19
P&Town)
7 NAME OF
Edgar J. Racicot
FUNERAL DIR RESTOBdway. Lawrence, 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
(write the word)
MARRIED
WIDOWED
or DIVORCED
Widud
10a If married, widowed, or divorced HUSBAND of
.(Give maiden name of wife in full)
Henri L. Vraux
(or) WIFE of.
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
T2
77
0
16
AGE
Years.
Months ...
.. Days
If under 24 hours
.Hours ........ Minutes
13 Usual
Weaver - retired
Occupation :
(Kind of work done during most of working life)
14 Industry
Pacific Vorsted Mills
or Business :.
15 Social Security No.
025 10 4976
16 BIRTHPLACE (City)
St. Alexandre, Canada
(State or country)
17 NAME OF FATHER Jules Ouellette
18 BIRTHPLACE OF FATHER (City) (State or country)
Canada
19 MAIDEN NAME OF MOTHER
Celanire Belanger
20 BIRTHPLACE OF
MOTHER (City)
Canada
21 heginald Vraux
Informant
(Address) 12 Court I.d. . inthron, Is.
A TRUE COPY
ATTEST: (Registrar of City or Yown where death occurred)
DATE FILER Lerk.
August 13 , 1999
U.P.v
6 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)
S
Registered No.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
1
PARENTS
25M-2-58-922072
INTERVAL BETWEEN ONSET AND
RECEIVED
1
SEP 3: 1050 MM
R-301A
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.
· Registered No.
[(If death occurred in a hospital or institution, St. (give its NAME instead of street and number)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
28 Bowdoin
(a) Residence. No.
St.
(Usual place of abode)
Length of stay: In place of death.
years
months
days. In place of residence 5
years.
months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
A19
(Month)
15
(Day)
195
( Year )
4 I HEREBY CERTIFY
That I attended deceased from
Jan.
C
1952 to
1
1959
I last saw kafalive on
15, 19 59, death is said to
have occurred on the date stated above, at
m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Coronary Trombosi
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
0
Was autopsy performed?
What test confirmed diagnosis?
No
1
5 Was disease or injury in any way related to occupation of deceased ? If so, specify 110
(Signed).
Charles , Ferrer
, M. D.
(Address
Holy Cross Malden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
August 19
19.59
7 NAME OF
FUNERAL DIRECTOR
Leo M. Norton
ADDRESS 287 Main St. Malden
Received and filed
AUG 19 1959
19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCEDrried
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of.
Joseph E. Granara
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
59
2
Months
29,
Days
If under 24 hours
Hours __ Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :
Own home
15 Social Security No.
None
St. Johns
16 BIRTHPLACE (City)
(State or country)
Newfoundland
17 NAME OF
FATHER
John Daley
St. Johns
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Newfoundland
19 MAIDEN NAME
OF MOTHER
Ann Larkin
20 BIRTHPLACE OF
MOTHER (City)
(State or country )
St. Johns
Newfoundland
21 Elizabeth Granara
Informant
(Address)
28 Bowdoin St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
(Signature of Agent of Board of Health or other),
Lite aducer
8118 50
1
(Official Designation) V
(Date of Issue of Permit)
1
THIS IS A ENT RECORD. only APPROVED k or black ter ribbon.
UCTIONS OR CERTIFICATE
diving OF DEATH t enter han one for each b) and (c)
es not mean of dying, heart failure, c. It means , or compli- caused
s, if any, De rise to ause (a), the under- ause last.
ons contrib- cath but not the terminal dition given
Chapter 137, 54, requires s to print or cause or death on
ificates. P. 46, 55 9 & P. 114 $$ 45, AP. 38 § 6.) S ·
-58-923886
PLACE OF DEATH
28 Bowdoin
No.
Nora E. Granara
2 FULL NAME
No
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(If nonresident, give city or town and State)
(write the word)
AGE
Years
Housework
PARENTS
Date 8/17 1919
6
1 INTERVAL BETWEEN ONSET AND DEATH
4MOS
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
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 front 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.
RECEIVED
AUG 191350 AM
R-301A 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.
203 Woodside Ave. No.
J(If death occurred in a hospital or institution, St. [give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
(If deceased is a married, widowed or divorced woman, give also maiden name.) 203 Woodside Ave.
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
DEATH
August
15,
1959
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
October 25,, 1950
to
August 15,
That I attended deceased from
19.59
I last saw her alive on Aug. 14,
1959
-
, death is said to
have occurred on the date stated above, at
2.a.m.
.m.
INTERVAL BETWEEN ONSET AND DEATH
2 wks.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCED
Married
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Charles A Rozell
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
59
9
8
AGE
Years
Months
Days
If under 24 hours
Hours
Minutes
13 Usual
Occupation:
Housewife
(Kind of work done during most of working life)
14 Industry
or Business :
Own home
15 Social Security No ...
None
16 BIRTHPLACE (City)
(State or country)
Mass
NAME O
FATHER
William H Hanly
PARENTS
18 BIRTHPLACE OF FATHER (City) (State or country) Pa.
Philidelpha
19 MAIDEN NAME
OF MOTHER
Florence McLean
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Scotland
21 Charles A Rozell
Informant
(Address203 Woodside Ave. Winthrop
7 NAME OF
FUNERAL DIRECTOR
Howard S Reynolds
ADDRESS
Winthrop, Mass
AUG 17 1959
Received and filed 19
(Registrar)
10 yrs
SIGNIFICANT
CONDITIONS carcinoma of the Bartholin's
gland
Was autopsy performed ?
no
What test confirmed diagnosis?
Clinic & laboratory
5 Was disease or injury in any way related to occupation of deceased ? No If so, specify
(Signed)
Du. Traunstein
fr.
M. D.
(Address)
Winthrop 52, Mass.
Date
Winthrop
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
18
Aug.
1959
50M-11-56-918978
UCTIONS OR CERTIFICATE diving OF DEATH t enter han one for each b) and (c)
es not mean of dying, heart failure, c. It means . or compli- hich caused
s, if any, ve rise to ause
(a), the under- ause
last.
ons contrib- eath but not the terminal idition given
Chapter 137, 54, requires s to print or cause or death on ificates.
5.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filled with me BEFORE the burial-or transit permit was issued :
(Signature of Agent of Board of Health or other)
Health Officer
(Official Designation) (Date of Issue of Permit) 8/17/59
Registered No.
Fannie (Hanly) Rozell
2 FULL NAME
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence. No.
(Usual place of abode)
60
60
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Bilateral bronchopneumonia
Due To Chronic Glomerulo-nephritis (b)
Due To (c)
OTHER
Post vulvectomy for
9 yrs.
Winthrop
73 Bartlett Rd.
1
Aug. 15 159
Winthrop
6
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 cffect, 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 seventecn. G. L. Chap. 46, Sec. 10.
No undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health, or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, from one cemetery to another, or from one grave or tomb other than the receiving tomb to another in the same cemetery, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original inter- ment, by a satisfactory certificate of the attending physician, if any, as required by law. or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If such a permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose, the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate. shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114. Sec. 45, G. L., (Tercentenary Edition).
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