USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1960 > Part 30
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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 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
JUN 1, 1000;
SERVICE NUMBER
R-303 A
1
PLACE OF DEATH
SUFFOLK
(County) WINTHROP
(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.
134
No.
Winthrop Community Hospital
[(If death occurred in a hospital or institution,
St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
J(Was deceased a
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
41 Irving Street,
Revere, Massachusetts
St
(If nonresident, give city or town and State)
Length of stay : In place of death.
........... years ....
months.
6 ... days. In place of residence.
.6 ...... years .......... months ......
.. days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 DATE OF
June
14,
1960
9 SEX
10 COLOR
White
11 SINGLE
(write the word)
MARRIED Widowed
WIDOWED
or DIVORCEI)
4 I 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.) Fracture of femur; Arterio- sclerotic heart disease.
lla If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Harry B.Brodie
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
If under 24 hours
13
AGE.85
Years ............
„Months ..
.Days
Hours
Minutes
14 Usual
Occupation :
At ..... Home
(Kind of work done during most of working life)
15 Industry
or Business :
None
16 Social Security No.
17 BIRTHPLACE (City)New ..... Brunswick
(State or country)
Canada
18 NAME OF
FATHER
Robert Van Ember
19 BIRTHPLACE OF
FATHER (City) (State or country) Canada
20 MAIDEN NAME
OF MOTHER
Sarah Brodie
21 BIRTHPLACE OF
MOTHER (City)
(State or country)
Canada
22
Informant
Minerya Johnson
4] Irving Street Revere
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit perinit was issued: - Ilacht
(Signature of Agent of Board of Health or other)
(Official Designation)
(Date of Issue of Permit)
If deceased was a U. S. War Veteran, G.L. Chap. 46, Section 10, requires physicians to insert a recital to that effect.
35M-11-59-926662
of Death. See reverse side for additional information. See also Chap. 38, §§ 6, 20; Chap. 46, §§ 9, 10; Chap. 114,
DEATH in plain terms, so that it may be properly classified under the International Classification of Causes
·WRITEPLAINLY WITH
§§ 44-48.
7 .Glenwood Centery
Everett
Place of Burial, or Cremation.
(City or Town)
DATE OF BURIAL June 17, 1960
19
8 NAME OF
FUNERAL DIRECTOR Leslie W. Pike AT-1-86"
ADDRESS
305 Beach St Revere
Received and filed JUNE 16, 19 60
Regictrar)
PARENTS
(Signed
Michael A. Luongo, M. D.
M. D.
Boston (Print or Type Signature) 6/14 60
(Address)
Date
19.
(Specify type of place)
Manner of
Fall to floor.
Injury
(How did injury occur ?)
Nature of
Injury
While at work ?
Was autopsy performed ?
No
6 Was disease yor injury in any way related to occupation of deceased?
If so, Speciy
19
Yes
IF ACCIDENTAL, was injury causally related to the death ?
Where did
Revere, Massachusetts
Injury occur ?
(City or town and State)
Did injury occur in or about home, on farm, in industrial place, or in
public place ?
Home
Accident
5 Accident, suicide, or homicide (specify)
Date and hour of injury
6/8
60
DEATH
(Month)
(Day)
(Year)
Female
2 FULL NAME
GERTRUDE
BRODIE
( Van Ember
)
U. S. War Veteran,
[if so specify WAR)
NO
(Usual place of abode)
NEVER =
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
.....
SERVICE NUMBER
JUN 1 61960 AM
* WINTHROP MASS.
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 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 a's 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 administered as a surgical anaesthetic for (enter name of operation and disease or condition requiring surgery)." "Fracture 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.)"
€
S
C
1 d
C 1 C (
1 S
C T
C
S
I 1 1 1 €
1
C t 1 C c C 1 t
Suffolk (County)
Winthrop (City or Town)
NEVERE 7-7.60
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.
135
St. (give its NAME instead of street and number) No. . Winthrop. Community Hospital
2 FULL NAME
Annie Mae Thorburn (Corbett )
(If deceased is a married, widowed or divorced woman, give also maiden name.)
14 Victoria Street
St.
REVERE
(If nonresident, give city or town and State)
Length of stay: In place of death
years.
months
8
days. In place of residenc
38
.years
months.
days. ,-
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
June 14, 1960
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
That I attended deceased from
February, 1954 , toJune 14,
150
I last saw h ._._ alive on
June 14
60
, 19.
, death is said to
have occurred on the date stated above, at
10.15 Pm
INTERVAL
BETWEEN
ONSET AND
DEATH
6 years
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED Married
WIDOWED
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Alfred J. Thorburn
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
AGE
12
68
4
Months
15Days
If under 24 hours
Hours ...... Minutes
13 Usual
Occupation :
At Home
(Kind of work done during most of working life)
14 Industry
or Business:
None
15 Social Security No .....
16 BIRTHPLACE (City)
(State or country)
Mass
North Adams
17 NAME OF
FATHER
Arthur Corbett
18 BIRTHPLACE OF
FATHER (City).
(State or country)
England
19 MAIDEN NAME
OF MOTHER
Annie Lloyd
20 BIRTHPLACE OF
MOTHER (City)
New Haven
(State or country)
Conn.
21
Informant
Alfred J. Thorburn
(Address)
14 Victoria Street Revere
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
a terra
(Signature of Agent of Board of Health or other)
(Official Designation)
1
(Date of Issue of Permit)
X
50M-11-56-918978
6
Ridgewood Cemetery North Andover
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
June 16, 1960
19
7 NAME OF
FUNERAL DIRECTOR
Leslie W. Pike
ADDRESS
305 Beach Street Revere
JUNE 16 1960
Received and filed
PLACE OF DEATH
R-301A 1
TIONS
IRTIFICATE
ing DEATH enter n one each and (c)
not mean of dying. rt failure, It means or compli- h caused
if any, rise to (a), under- last.
Due To (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
No
What test confirmed diagnosis?
Biopsy 1054
5 Was disease or injury in any way related to occupation of deceased?no If so, specify ... 1
(Signed).
Colour 7
Gelinstat
M. D.
27 Bennington St.,
(Address) Revere. Mass
Date
June 15, 19 60
PARENTS
Registered No.
[(If death occurred in a hospital or institution,
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
yass
NO
(a) Residence.
No.
(Usual place of abode)
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Biliary Cirrhosis
contrib -- but not terminal mion given
Opter 137, 95
requires print or ause or ath on tates. f
(Registrar)
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 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. caused by violence, the medical examiner shall make such certificate. If such a
If death is permit for the removal of a human body, not previously interred, from one town to another within the commonwealth cannot be obtained early enough for the purpose. the certificate of death made as above provided and in the possession of the undertaker desiring to make such removal shall constitute a permit for such removal; provided, that such body shall be returned to the town from which it was removed within thirty-six hours after such removal, unless a permit in the usual form for the removal of such body has been sooner obtained hereunder. If the
death certificate contains a recital, as required by section ten of chapter forty-six. that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health, or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registra- tion. The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require .- Chap. 114, Sec. 45. G. L., (Tercentenary Edition).
Medical examiners shall make examination upon the view of the dead bodies of persons as are supposed to have died by violence, or by the action of chemical, thermal or electrical agents or following abortion, or from diseases resulting from injury or infection relating to occupation, or suddenly when not disabled by recognizable disease, or when any person is found dead. .. - General Laws, Chap. 38, Sec. 6., as amended by Chap. 632, Sec. 4, Acts of 1945.
No undertaker or other persons shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made.
Chap. 114, Sec. 46, G. L., (Tercentenary Edition).
RULES OF PRACTICE
The fulfillment of the purpose of these laws calls for the observance of the follow- ing rules of practice :
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons) thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation. the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
Statement of Cause of Death .- Physicians: see explanatory instructions on face side of standard certificate of death.
Statement of Occupation .- Precise statement of occupation is very import- ant, so that the relative healthfulness of various pursuits can be known. Make some entry in this section for every person aged 10 years or over. If the occupa- tion had been given up or changed, or if the deceased had retired from business, report the kind of work done during most of working life even if retired. Children not gainfully employed may be returned as at school or at home. / For a woman whose only occupation was that of home housework; write housework. For a person engaged in domestic service for wages, however, designate the occupation by the appropriate terms, as housekeeper-private family, cook-hotel; etc. For a person who had no occupation whatever write none.
@1 01960 AN
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)
MAY FLOWER
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD
CERTIFICATE OF DEATH
Registered No.
136
St. [give its NAME instead of street and number) No. ANTONIO MESSINA
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
NO
if so specify WAR)
REVERE
(If nonresident, give city or town and State)
Length of stay: In place of death- years 6
months
days. In place of residence.
3
years
months
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
JUNE 15
1960
DEATH
(Year)
(Month)
(Day)
4 I HEREBY CERTIFY,
That I attended deceased from
to.
JUNE 15
MARCH 4, 160,
160
I last saw h/ Aplive on
JUNE 15, 1960, death is said to
have occurred on the date stated above, at
11%
m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
PULMONARY EdeMA
(a)
Due To CORONARY
(b)
.
HEART DISEASE
Due To
Arteriosclerosis
(c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
100
.
What test confirmed diagnosis?
CLINICAL
5 Was disease or injury in any way related to occupation of deceased If so, specify
(Signed)
Doncestamme
M. D.
60/ Kenave H Kever ate 6/16/60
6
HOLY CROSS CEMETERY, MALDEN
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
JUNE
20
1960
7 NAME OF
CHARLES BRUNOX SON
FUNERAL DIRECTOR
ADDR
14 PROCTOR AVE, REVERE
MASS
Received and filed
JUNE 20, 1960
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
MALE
9 COLOR
WHITE
10 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
WIDOWED
10a If married, widowed,
HUSBAND of
MARGARET CUSIMANO
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here. -
12
AGE
77 Years
Months
Days
If under 24 hours
Hours ...._ Minutes
13 Usual
Occupation :
SHOE
WORKER
(Kind of work done during most of working life)
14 Industry
or Business:
SHOE FACTORY
15 Social Security No ..
16 BIRTHPLACE (City) (State or country)
ITALY
17 NAME OF
FATHER
FRANCESCO MESSINA
18 BIRTHPLACE OF
FATHER (City) (State or country)
ITALY
19 MAIDEN NAME
OF MOTHER
ROSALIE VOSSELLO
20 BIRTHPLACE OF MOTHER (City) (State or country) ITALY
21 Constance messina
Informant
(Address)
35 my Hood Ter MELROSE
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) Theakit.
6/20160
(Official Designation) 12
(Date of Issue of Permit)
x
CTIONS R ERTIFICATE
ving DEATH enter an one or each and (c)
har not mean of dying, rt failure, It means se or compli- ach caused
. if any, rise to Ose (a), under- last.
care
hier contrib- deh but not de terminal Tion given
Capter 137, 1% requires não print or e cause or
of leath OD rt:ates.
CCONEMD
50M-5-57-920345
R-301A 1
To be filled for burial permit with Board of Health or its Agent.
NURSING HOME
[(If death occurred in a hospital or institution,
(a) Residence.
227 SCHOOL
No.
(Usual place of abode)
St
INTERVAL
BETWEEN
ONSET AND
DEATH
IdAv
PARENTS
NEVERE
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 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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