USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1959 > Part 54
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59
21 Informant (Address)
Paul Rouillard 16 line ave Thanthe.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial of transit permit was lasued :
(Signature of Agent of Board Health of other)
03790 (Official Designation)
22
The or
ermit
UBV
1
PERSONAL AND STATISTICAL PARTICULARS
8 SEX F
9 COLOR
White
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Hidoux
10a II married, widowed, or divorced
HUSBAND of
(Give maiden napo
Ltcol Paul R. Roulland
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGEO 3.Years
Months .
Days
II under 24 hours
_Hours ...... Minutes
13 Usual
Occupation :
(Kind of work dode during most of working life)
14 Industry
or Business:
Housekeeper
15 Social Security No ...
020-8212629
16 BIRTHPLACE (City).
(State or country)
Faire
marc
17 NAME OF
FATHER
William allen
18 BIRTHPLACE OF FATHIER (City) (State or country)
Nova Scotia
PARENTS
19 MAIDEN NAME OF MOTHER Charlotte, Chestnut
20 BIRTHPLACE OF
MOTHER (City) ...
(State or country)
Cambridge
7 NAME OF FUNERAL DIRECTOR. Maurice H. Perly 210 Winthrop St Hentrop ADDRESS
2AUF 2 8 1958 2-19.
Received and filed Charte 21
RM R-301A
B.THIS IS A ANENT RECORD. Use only TE APPROVED k ink or black writer ribbon.
STRUCTIONS FOR AL CERTIFICATE a giving OF DEATH
not enter re than one se for each , (b) and (c)
does not meea ode of dying. I heart failure. . ell le means are. no compli.
IOR !. gave rise to (a). the under- cause last.
ditions contrib. death but not to the terminal condition sites
. Chapter 137, 1954, requires ans to print or be cause of of death on ertidcates. AP. 46, 11 9 & AP. 114 :1 45. HAP. 3846.) .51 V 9 1959
to.50-023000
2 FULL NAME.
Roullard
Registered No.
no
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specily WAR)_
(If nonresident, give city or town and State)
30
Due To
(b) -
MALIGNANT NEPHROSCLEROSIS
A TRUE COPY ATTEST: nurles it Mackie City Registrar
....
7
NOV -01959 AM
PLACE OF DEATH
Suffolk
(County)
Boston
(City of Town)
The Commonwealth of MassachusettsUT - OF - T180 To be fled for burial permit with Board of Health 7251 or Its Agent EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
No.
Peter Bent Brigham Hospital M
Visconte
2 FULL NAME Mrs. Virginia Rowe
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No ..
84 Hermon
St Winthrop Mass
(L'sual place of abode)
Length of stay: In place of death
.... years.
months 21
days. In place of residence 35 years
months ...
... days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
July
29
1959
(Month)
(Day)
(Year)
WA HEREBY CERTIFY
July 8
19
59
.
July
29
,59
WY last saw hetslive on
July
29
19 59
, death is said to
have occurred on the date stated above, at
10:50 A
.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Uremia (clinical ) BUN 86
K 7.4
Days
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWER
or DIVORCELdowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife In full)
(or) WIFE of
Walter Rowe
(Husband's name In full)
Il IF STILLBORN, enter that fact here.
12 40
AGE
Years
Months ..
_Days
If under 24 hours
„Houra ...... Minutes
13 L'sual
Occupation :
Housewife
(Kind of work done during most of working life)
·14 Industry
or Business:
Own Home
15 Social Security No.
Boston
16 BIRTHPLACE (City)
(State or country)
Masa
17 NAME. OF
FATIIER
John Visconte
18 BIRTHPLACE OF
Boston
FATHER (City)
(State of country)
Ma88
19 MAIDEN NAME
OF MOTHER
Harry
Andrewe
20 BIRTHPLACE OF
MOTIIER (Cily)
(State or country)
Gloucester
Magg
21
Informant
(Address)
Jeannette.Fallon 76 Sunnyside Ave
Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the hardfor t Patrick Vallwan t permit was issued:
(Signature of Agent of Board of Health or other)
03861
7-30.59
(Official Designation)
(Date of lasue of Permit)
X
MR-301A
-THIS IS A NENT RECORD. e only APPROVED ink or black riter ribbon.
RUCTIONS FOR CERTIFICATE
giving OF DEATH ot enter than one for each (b) and (c)
lors not mean of dying. heart failure. te It means 1. or comple- hich caused
Si -
a: rise to (e). the under- cause last
Chapter 137, 954, requires a to print of cause of death on ificatea. P. 46. 119 & P. 114 :1 45, AP 38*6 ) 15. 19 1959
Received and filed
AUG 3 - 1959 19
- M. D.
(Address)
P. Bent Brigham
. Date July 29 1959
6
Winthrop
Winthrop
Place of Burial o1 Cremation
DATE OF BURIAL
(City of Town) August 1
19
59
PARENTS
40 Yrs
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
None
Was autopsy perlormed?
Yes
What teat confirmed diagnosis ?.
Autopsy
S Was disease or injury in any way related to occupation of deceased ? No If 10, rwy Eugene C. Eppinger, M.D.
(Signed)
Eugenet Eppingen
INTERVAL
BETWEEN
ONSET AND
DEATH
Due To
Polycystic Kidney Disease
(b) . .
1
Registered No.
J(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,
No
ST.
if so specify WAR)
(If nonresident, give city or town and State)
That PAtended deceased from
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
Winthrop Mass
ADDRESS
ons contrib. death but not the terminal adition gite4
A TRUE COPY ATTEST:
BEDEMED Birkes it Macker TO !! City Registrar
-
6
NOV -01959 AM
R.302 1
-
PLACE OF DEATH
Suffolk
(County)
Revere
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Revere
181
(City or Town making this return)
Registered No.
§(If death occurred in a hospital or institution, St. ( give its NAME instead of street and number)
2 FULL NAME
Elsie Didham (Codding)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No ..
63 Upland Rd.
stWinthrop
(If nonresident, give city or town and State)
Length of stay: In place of death 3 years 8 months.
........ days. In place of residence.
35years.
.. months.
.. days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
September 6,
1959
(Day)
(Year)
4 I HEREBY CERTIFY, That I attended deceased from June . 1 55 to September 6
I last saw .Yalive on
September 6, 1959, death is said to
have occurred on the date stated above, at
3:45P.
m .
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Congestive Cardiac
Failure
INTERVAL BETWEEN ONSET AND DEATH 2days
11 IF STILLBORN, enter that fact here.
12
69
8
Yea
Month
5
Days
If under 24 hours
.. Hours ........ Minutes
13 Usual
Seamstress
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :
Hospital
15 Social Security
019-14-6846
16 BIRTHPLACE (City)
Mansfield
(State or country)
Mass
17 NAME OF
FATHER
William Codding
18 BIRTHPLACE OF
Mansfield
FATHER (City)
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER
Lena Briggs
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Mass.
21
Informant.
Alice D. Beekman
(Address) 63 Upland Rd., Winthrop
A TRUE COPY
ATTEST:
fRegistrar of City or Town where death occurred)
DATE FILED
September
9
19
59
(Registrar of City or Town where deceased resided)
PARENTS
(City or Town)
September 9
59
19
7 NAME OF
Howard S. Reynolds
FUNERAL DIRECTOR
Winthrop, Mass.
ADDRESS
Received and filed.
OCT 13 1959
19
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
9 COLOR
White
10 SINGLE
MARRIED.
WIDOWED DOW
or DIVORCED
(write the word)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE ofArthur S. Didham
(Husband's name in full)
Due To Diabetes Mellitus
5yrs.
5yrs.
1mo.
Laboratory Studies
What test confirmed diagnosis ?
no
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed) ...
John F. Collins
M. D. 27 Bennington St
Date ...
9/8
19.
59
Attleboro
Winthrop
25M-8-56-918227
(Usual place of abode) (Month) 19. (1)) (c) OTHER SIGNIFICANT Pyoderma CONDITIONS Was autopsy performed? no (Address) Revere. Winthrop 6 Place of Burial or Cremation DATE OF BURIAL. 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 Hypertension
No. . 214 Endicott Ave.
(Was deceased a
U. S. War Veteran,
if so specify WAR)
Female
19. 59
X
OCT 3. 31959 AM
X PLACE OF DEATH
Suffolk (County)
Revere
(City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS COPY OF CERTIFICATE OF DEATH
Revere
(City or Town making this return)
Registered No.
182
No.
Grover Manor Hospital
(If death occurred in a hospital or institution,
St. { give its NAME instead of street and number)
2 FULL NAME
Lillian J. Anderson (Whitam)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
56Floyd
(Usual place of abode)
Winthrop
(If nonresident, give city or town and State)
Length of stay: In place of death ............ years ..
months.
days. In place of residence.
1 Jears
... months ...
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
September 24.
(Month)
(Day)
195.9
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Dec.
3,
19
59
to
Sept.
24,
1959
I last saw h.e.Mlive on
Sept ......... 2.3 .... , 19.5.9., death is said to
have occurred on the date stated above, at
1:10P.
.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Arteriosclerotic heart
disease
INTERVAL
BETWEEN
ONSET AND
DEATH
4yrs
Due ToGeneralized Arterio-
(b)
sclerosis
Due To (c)
OTHER
SIGNIFICANT
Metastatic
lyr.
CONDITIONS
Carcinoma
Was autopsy performed?
no
What test confirmed diagnosis ?
Clinical Findings
5 Was disease or injury in any way related to occupation of deceased? If so, specify.
(Signed) John F. Collins M. D.
27 Bennington St
(Address).
Revere
Date ..
9/25
19.59
Puritan Lawn Mem. Park - Peabody 6
Place of Burial or Cremation (City or Town)
DATE OF BURIAL September 26
59
56 Floyd St., Winthrop
7 NAME OF
Porcella Funeral Servi
FUNERAL DIRECTOR
876 Winthrop Ave Revere
Received and filed. 19
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
MARRIED
WIDOWEDi dow
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Frank E. Anderson
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
If under 24 hours
Years.L
Months.2.7 Days
Hours ........ Minutes
13 Usual
Occupation :
At ..... home
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No ..
none
16 BIRTHPLACE (City)
Gloucester
(State or country)
Mass.
17 NAME OF
FATHER
Benjamin Whitam
18 BIRTHPLACE OF
FATHER (City).
Gloucester
(State or country)
Mass.
19 MAIDEN NAME
OF MOTHER
Jenney Griffin
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Rockport
Mass
21 Abby Anderson
Informant
(Registrar of City or Town where death occurred)
DATE FILED
September
28
19
59
X
Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town
resided as soon as possible, after the close of the month in which the death occurred. (See Chap. 46., Sec. 12, (. L.)
25M-8-56-918227
at the time of death should be transmitted on Form R-302 to the clerk of the city or town in which the deceased
I R-302 I
PARENTS
A TRUE COPY
ATTEST:
ADDRESS
OCT 13 1959
10yrs
10 SINGLE
(write the word)
(Was deceased a
U. S. War Veteran,
if so specify WAR)
1
1
بـ
6
OCT 1. 31959 /0
R-301A 1
CTIONS
ERTIFICATE
iving F DEATH enter an one or each ) and (c)
s not mean of dying, art failure, c. It means or compli- ich caused
s, if any, ve rise to use (a), he under- use last.
ons contrib- ath but not the terminal dition given
Chapter 137, 54. requires to print or cause or death on ficates, and 8, Acts of ires Physi- rint or type r signature.
S .
59-925686
PLACE OF DEATH
Suffolk (County)
Winthrop (City or Town)
The Commonwealth of Massachusetts JOSEPH D. WARD 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.
183
S(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
Katherine Mildred Royal
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
10 Orlando Avenue
St.
(If nonresident, give city or town and State)
Length of stay: In place of death .............. years. ... months. .......... days. In place of residence.
.4.O.years .............. months .......... .. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
fryrite the word)
MARRIED Widowed
WIDOWED
or DIVORCED
4
DEC -5
HEREBY CERTIFY,
1958, to OCTOBER
I last saw hE Ralive on
..... ,
OCT.
7
1959, death is said to
have occurred on the date stated above, at 9:45 Pm.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a) Carenomol
CARCINOMATOSIS
Due To
CANCER OF LARGE
(b)
INTESTINE (PRIMARY)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed ?
NO
OPERATION-PATH REPRI
What test confirmed diagnosis ?
5 Was disease or injury in any way related to occupation of deceased? NO If so, specify
(Signed) G.M. Caplan M. D. A ...... N ...... Caplan. (PRINT OR TYPE SIGNATURE) 186 PRINCETONST
(Addre
Riverside Cemetery. Saugus, Mass
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL October 10, 1959 ..... .. 19
7 NAME OF
FUNERAL DIRECTOR
alfred B Marche
ADDRESS 1.7.4. Winthrop St. Winthrop, OCT 19 1959 19
Received and filed
....
10a If married, widowed, or divorced HUSBAND of
(or) WIFE of
John S. Royal
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE .. 7.6
Years .....
1 Months ... 2.9 .. Days
If under 24 hours
Hours ............
.. Minutes
13 Usual
Occupation :
retired saleslady
(Kind of work done during most of working life)
14 Industry
or Business :
retail millinery .. store
15 Social Security No. ....
011-20-2814
Chelsea
16 BIRTHPLACE (City)
(State or country)
Massachusetts
17 NAME OF
FATHER
Alton Jesse Hatch
18 BIRTHPLACE OF
FATHER (City)
Damariscotta
(State or country)
Maine
19 MAIDEN NAME
OF MOTHER
Annie Eliza Coldwell
Boston
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Massachusetts
Informant
Walter H ..... Packard
(Address)
47 Packard Drive Braintree
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
.Mass ..
Palpe, E Simann
1
(Signature of Agent of Board of Health or other)
Health Officer
ct. 19 1959
(Official Designation)
(Date of Issue of P/ mit)
1
3 DATE OF
DEATH
October
7
1959
(Month)
(Day)
(Year)
That I attended deceased from
7
1959
(Give maiden name of wife in full)
INTERVAL
BETWEEN
ONSET AND
DEATH
1 YEAR
PARENTS
Registered No.
f(Was deceased a
U. S. War Veteran,
[if so specify WAR)
NO
(Usual place of abode)
No.
10 Orlando Avenue
(Registrar)
AST Boston Date 10-9-1959
6
-
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
T! !!
RULES OF PRACTICE
OCT 1 91959 PM
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 of persons to whom they have given bedside care during a last illness from disease un- related 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 occu - pation, 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 impor - tant, 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 bad been given up or cbanged, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Chil- dren 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.
-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
184
To be filed for burial permit with Board of Health or its Agent.
Winthrop Community Hospital No. aka Mac Carthy John P. McCarthy
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
66 Summit Ave
(a) Residence. No.
(Usual place of abode)
Length of stay: In place of death.
years
25
mont
days. In place of residence. 35years months __. days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWEDM
or DIVORCEBrried
10a If married, widowed, or divorced
Margaret M. Shea
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
83
Years
Months
Days
If under 24 hours
_Hours ___ Minutes
13 Usual
Occupation :
Manager
(Kind of work done during most of working life)
14 Industry
or Business:
Sheet Metal
15 Social Security No ..
South Wales
-
16 BIRTHPLACE (City)
(State or country)
England
17 NAME OF
FATHER
Patrick Mac arthur
18 BIRTHPLACE OF
FATHER (City). (State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Regan
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Tre land
21
Margaret M. MacCarthy
Informant
(Address)
66 Summit Ave .. 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)
1.6.
Oct.13/59
(Official Designation)
(Date of Issue of Permic)
TIONS 1 RTIFICATE
ring DEATH enter in one r each and (c)
not mean of dying, rt failure, It means or compli- ch
caused
if any, rise to se
s contrib -- th but not e terminal tion given
apter 137, , requires to print or cause or death OD cates.
50M-1-58-921876
6 Winthrop
Winthrop
(City or Town)
Place of Burial or Cremation
DATE OF BURIAL
October 13,
19. 59
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
Winthrop Mass
ADDRESS
Received and filed OCT 13 1959 19
(Registrar)
ly r.
Due To (c)
JEjurosTomoy
OTHER
SIGNIFICANT
CONDITIONS
Gastro-Jejunostomy
189445
Was autopsy performed?
No
What test confirmed diagnosis ?.
Clinical
5 Was disease or injury in any way related to occupation of deceased? Af If so, specify Charles Liberman-
(Signed)
Charles Lebenman
M. D.
Winthrop Mass.
, Date
10/10/1959
PARENTS
Registered No.
f(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,
No
if so specify WAR).
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
Oct.
10
1959
(Year)
(Month)
(Day)
4 LHEREBY CERTIFY
That I attended deceased from
Jan. 10
19
to.
Det.10
957
1959
I last saw hi'malive on
Oct. 10, 1957, death is said to
have occurred on the date stated above, at
101,35A,m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Cerebral Hemorrhage
(Left Hemiplegia)!
INTERVAL
BETWEEN
ONSET AND
DEATH
3 days.
Due To Cerebral Arteriosclerosis
(b)
(a), : under- se lost.
.
St (If nonresident, give city or town and State)
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, eightcen 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).
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