USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1961 > Part 10
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Informant
(Address)
218 Lincoln St. Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued:
tally E, Mercanand
(Signature of Agent of Board of Health or other)
H.O.
3/10/6/
(Date of Issue of Permit)
(Official Designation)
X
CTIONS R ERTIFICATE
ving 7 DEATH enter an one or each and (c)
nat mean af dying, urt failure, It means ar compli- ch caused
if any, rise to se (a), ; under- se last.
tas contrib- ath but nat le terminal ntian given
Capter 137, , requires o print or cause or Edeath on dcates, and Acts of ues Physi- it or type esignature.
(Signed)
KTUGepl GREGORIE
(PRINTVOR TYPE SIGNATURE).
(Address) 194 Washington Date ..... 23/11
yn.
Due To
(c)
Senility
OTHER SIGNIFICANT CONDITIONS
Was autopsy performed ?
What test confirmed diagnosis ?
INTERVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
myocardial heart
(a)
Disease
Due To
an Verso sclerosis
(b) generalized
3 DATE OF
DEATH
harch
8
1961
(Month)
(Day)
(Year)
19
10a If married, widowed, or divorced
HUSBAND of
Catherine E. McDonald
(Give maiden name of wife in full)
92
5
Salerno
5 Was disease or injury in any way related to occupation of deceased ?
If so, specify
Salerno
-- 925686
Washington Rest Home - No.
2 FULL NAME
Joseph Delmonico
(If deceased is a married, widowed or divorced woman, give also maiden name.)
6
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
240
RULES OF PRACTICE
The fulfillment of the purpose theseslams pays forythe 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 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. 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.
R-301A 1
CTIONS R ERTIFICATE
ving ₹ DEATH enter an one r each ) and (c)
not mean of dying, ut failure, It means or compli- ch caused
if any, : rise to se
(a), under- se last. ns contrib- th but not e terminal tion given
hapter 137, 154. requires to print or 2 cause or death on Ificates, and 8, Acts of ires Physi- int or type - signature. C
-43145
PLACE OF DEATH
Suffolk (County)
Winthrop
(City or Town)
No. 2.8 ... Taylor
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.
46
Registered No. §(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number) PHYSICIAN - IMPORTANT
2 FULL NAME
Louisa DeStefano
(First Name)
(Middle Name)
(Last Name)
[if so specify WAR) No
(If deceased is a married, widowed or divorced woman, give also maiden name.)
28 Taylor
St.
Winthrop, Mass.
(a) Residence. No.
( Usual place of abode)
Length of stay: In place of death.
......
.years ..
.. months.
days.
In place of residence
4
years
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWER dowed
or DIVORCEI
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Peter DeStefano
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE.8.2 ... 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)
Italy
17 NAME OF
FATHER
Rizabetto Clericuzio
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Italy
19 MAIDEN NAME
OF MOTHER
Carmela Ruggiero
20 BIRTHPLACE OF MOTHER (City) (State or country) Italy
21 Dora Festa
Informant
(Address) 28 Taylor St, Winthrop, Mass
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE' the burial or transit permit was issued: Hauch E. Seriani
Left (Signature of Agent of Board of Health or other)
H.C.
3/10/6/
(Official Designation) (Date of Issue of Permit)
PARENTS
6
Holy Cross
Malden
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
March 11,
19 61
7 NAME OF
FUNERAL DIRECTOR
DiPietro & Vazza
ADDRES
11 .... Henry ..... S.t., ..... East Boston
Received and filed
MAR 1-0 1961
19
(Registrar)
INTERVAL BETWEEN ONSET AND DEATH 12 hrs.
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a) Cerebral
VASCULAR
RAGE
Due To
(b)
HYPERTENSION
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)
marion @ Sala
M. D
MARIIN C
SABIA
(PRINT OR TYPE SIGNATURE)
(Address)
JY/ MAUCRICK ST Date.
March 9 106%.
AUS+ BOSTON
(Month)
(Day)
(Year)
4 I HEREBY
CERTIFY,
That I attended deceased from
June
19 .. 52, to ...
MAILCh
8
961
I last saw he.nalive on
MARCH 7, 1961
death is said to
have occurred on the date stated above, at
8:45 am
6 yrs.
3 DATE OF
DEATH
march
8
1961
(Was deceased a U. S. War Veteran,
(If nonresident, give city or town and State)
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 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 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. 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.
M R-304
PLACE OF DELIVERY
Suffolk (County )
1 Winthrop (City or Town)
No. Winthrop Community Hospital
St.
- (If death occurred in a hospital or institution, give its NAME instead of street and number)
3 DATE OF
DELIVERY
3
(Month)
( Day)
11
1961
(Year )
4 SEX
MalX
.Female .. . . Undetermined
5 COLOR (if
determined )W
6 THIS BIRTH (Check one)
Single.
Twin
Triplet
7 IF MULTIPLE BIRTH, BORN :
1 st ...
.2nd
3rd
FATHER
MOTHER
8
FULL
NAME
Morello, Angelo J.
14
MAIDEN NAME
Guinasso, Marie
PRESENT NAME
Morello, Marie
9
RESIDENCE, NO.
27 Ford
Revere
STREET
CITY OR TOWN
STATE.
Mass
15
RESIDENCE, NO.
27 Ford Street
CITY OR TOWN Revere
STREET
STATE Mass.
10 COLOR QR
RA
White
11 AGE AT TIME OF
THIS DELIVERY
31 (Years)
16 COLOR,
RACE.
White
17 AGE AT TIME OF 23
THIS DELIVERY
(Years)
12 PLACE OF
BIRTH
Boston, Mass.
(City or Town)
(State or country)
18 PLACE
BIRTH
Boston, Mass.
(City or Town)
(State or country)
13
OCCUPATION Clothing worker
19 INFORMANT Angelo Morello
20 PREVIOUS DELIVERIES TO MOTHER
(Do not include this fetus)
NONE
(a) How many children are
now living?
(b) How many children were
born alive but are now
dead ?
(c) How many previous fetal deaths of ANY gestation age?
21 LENGTH OF
PREGNANCY
& 4 completed
weeks
22 WEIGHT OF FETUS
Lb.
7
.Oz.
23 WHEN DID FETUS DIE?
Before
Labor
24 AUTOPSY
Yes
No. L
25 FETAL DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Unknown
(a)
Due To (b) Due To (c)
OTHER SIGNIFICANT
CONDITIONS
26
St. Michael
Place of Burial or Cremation
Boston
(City or Town)
DATE OF BURIAL March 14,1961. .19
27 NAME OF
FUNERAL DIRECTOR Arthur S. Porcella
ADDRESS 876 Winthrop Ave., Revere
Received and filed .19
(Registrar)
I HEREBY CERTIFY that this delivery occurred on the date stated above at 700Am., and product of conception was not a live birth.
Signature of Attending Physician of Medical Examiner :
M.D.
Sydney Ellis (PRINT OR TYPE SIGNATURE)
Address
311 Commonwealth Ave. Date
Boston
3/11/6
I HEREBY CERTIFY that a satisfactory certificate of fetal death was filed with me BEFORE the burial or transit permit was issued:
,
Ralph E. Seriannel (Signature for Agent of Board of Health or other) 4 .. O. 3/13/6/
(Official Designation )
(Date of Issue of Permit )
1 giving .USE OF AL DEATH not enter e than one se for each (a), (b) ind (c)
or maternal, aion causing death (do use such as stillbirth maturity.) and/or ma- conditions, which gave ito above (a), stating nderlying last.
tions of fetus tther which ave contrib- to fetal but, in so is known, enot related cuse given
15M-6-60-928241
2 NAME OF FETUS
(if given)
Morello, Male
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS CERTIFICATE OF FETAL DEATH (STILLBIRTH)
To be filed for burial permit with Board of Health or its Agent.
Registered No.
A TRUE COPY ATTEST :
(or ..
.Grams)
During Labor
or Delivery ..
Unknown
11 FETAL DEATH 1.1
EXTRACTS OF CERTAIN SECTIONS OF CHAPTER 46 AS AMENDED OR ADDED BY CHAPTER 48. ACTS OF 1960. 1
1 .: 6
Section 2A. "Examination of records and returns of illegitimate births, or abnormal sex births, or fetal deaths, . .. shall not be permitted except ... ".
Section 9A. When a child is born Adad, after alperiod of gestation of not less than twenty weeks, and in the fetus there is no attempt at respiration, no action of heart and no movement of voluntary muscle, the physician or officer attending at the birth of such child shall forthwith furnish for registration, at the request of an undertaker or other authorized person or of any member of the family of the deceased, a certificate of fetal death on a form which shall be prepared by the secretary of state as required by section sixteen. Town clerks shall record certificates of fetal death in the town register of deaths in the same manner as a death certificate, but they shall not be required to record such certificates in the town register of births.
Section 12. ". .. No birth record of a child born out of wedlock or of a child of abnormal sex, and no record of fetal death shall so be transmitted to any other city or town."
Section 24. In any statement of births, deaths and fetal deaths printed by a town the name of an illegitimate child or of its parents or of the parents of a child born dead shall not be printed, but the word "illegitimate" or "fetal death" shall be used in place thereof. A town violating this section shall forfeit to the mother of such child not more than one hundred dollars.
M R-304
or maternal on causing death (do tse such Is stillbirth maturity. ) and/or ma- conditions, which gave o above a), stating derlying ast.
ons of fetus her which ve contrib- to fetal but, in so is known. ot related se given
15M-6-60-928241
Suffolk (County ) Winthrop (City or Town) PLACE OF DELIVERY No. Win. Community Hospital
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS CERTIFICATE OF FETAL DEATH ( STILLBIRTH)
To be filed for burial permit with Board of Health or its Agent.
Registered No.
48
(If death occurred in a hospital or institution, give its NAME instead of street and number)
March 13 1961
3 DATE OF
DELIVERY
(Month )
(Day)
(Year)
4 SEX
Male. AFemale ...... Undetermined
5 COLOR (if
determined)
W
6 THIS BIRTH (Check one)
Single ^ Twin
Triplet
7 IF MULTIPLE BIRTH, BORN:
1st. ...
.2nd
3rd
FATHER
8
FULL
NAME
Dennis Plucker
9
RESIDENCE, NO.
CITY OR TOWN
175 Shirley
Winthrop
STREET
STATE
Mass.
15
RESIDENCE, NO.
CITY OR TOWN
175 Shirley
Winthrop
STATE.
Mass
STREET
10 COLOR OR RACE White
11 AGE AT TIME OF THIS DELIVERY 23 (Years)
16 COLOR OR
RACE.
White
17 AGE AT TIME OF THIS DELIVERY 22
.(Years)
12 PLACE OF
BIRTH
Lenox
(City or Town)
South Dakota.
(State or country)
18 PLACE OF
BIRTH
Boston
(City or Town)
Mass.
(State or country)
13 OCCUPATION Machinist
19 INFORMANT DENNIS PLUCKER
20 PREVIOUS DELIVERIES TO MOTHER
(Do not include this fetus)
Two
(a) How many children are
now living?
2
(b) How many children were
born alive but are now
dead ?
O
(c) How many previous fetal deaths of ANY gestation age ? None
21 LENGTH OF
PREGNANCY
.completed weeks
22 WEIGHT OF FETUS
Lb.
Oz.
(or ..
Grams )
23 WHEN DID FETUS DIE?
Before
Labor
24 AUTOPSY
Yes
X
.No
25 FETAL DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a)
Prematurity
Due To (b)
Premature separation of
Due To (c) placenta; plus cord .around. neck
OTHER SIGNIFICANT CONDITIONS Threat. Misc. 2 wks prev, and 24 hrs, prev.
WINTHROP WINTHROP
26
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
MARCH 15
19.60
27 NAME OF FUNERAL DIRECTOR MAURICE W KIRBY ADDRESS WINTHROP
Received and filed MAR 15 1961 .19
(Registrar )
I HEREBY CERTIFY that this delivery occurred on the date stated above at 7 : 20AMand product of conception was not a live birth.
Signature of Attending Physician of Medical Examiner : an. Caplan
M. D.
A. N. Caplan M.D. 19 Menmaiok TYAVSIGNATURE) Winthrop Mass Date
3/13
61
Address
19
I HEREBY CERTIFY that a satisfactory certificate of fetal death was filed with me BEFORE the burial or transit permit was issued:
Sirianni
(Signature of Agent of Board of Health or other )
CH
1.O
march 15/61
(Official Designation )
(Date of Issue of Permit)
1 1
2 NAME OF FETUS (if given)
Baby Boy Plucker
St.
14
MAIDEN NAME
PRESENT NAME
MOTHER
Catherine Corso
Catherine Plucker
giving USE OF .L DEATH not enter : than one e for each (a), (b) nd (c)
A TRUE COPY ATTEST :
X
During Labor
or Delivery ..
Unknown.
RECEIVED
FETAL DEATH
TOW
OF
11 12
10
CLERK
3
7
PROP
MAR 151961 MM
EXTRACTS OF CERTAIN SECTIONS OF CHAPTER 46 AS AMENDED OR ADDED BY CHAPTER 48. ACTS OF 1960.
Section 2A. "Examination of records and returns of illegitimate births, or abnormal sex births, or fetal deaths, ... shall not be permitted except ... ".
Section 9A. When a child is born deac, after a period of gestation of not less than twenty weeks, and in the fetus there is no attempt at respiration, no action of heart and no movement of voluntary muscle, the physician or officer attending at the birth of such child shall forthwith furnish for registration, at the request of an undertaker or other authorized person or of any member of the family of the deceased, a certificate of fetal death on a form which shall be prepared by the secretary of state as required by section sixteen. Town clerks shall record certificates of fetal death in the town register of deaths in the same manner as a death certificate, but they shall not be required to record such certificates in the town register of births.
Section 12. ". .. No birth record of a child born out of wedlock or of a child of abnormal sex, and no record of fetal death shall so be transmitted to any other city or town."
Section 24. In any statement of births, deaths and fetal deaths printed by a town the name of an illegitimate child or of its parents or of the parents of a child born dead shall not be printed, but the word "illegitimate" or "fetal death" shall be used in place thereof. A town violating this section shall forfeit to the mother of such child not more than one hundred dollars.
PLACE OF DEATH
Suffolk (Counts) Struthrop. (City or Town) Mount's Convalescent Home
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD
To be filed for burial permit with Board of Health or its Agent.
49
$ (If death occurred in a hospital or institution.,
St. { give its NAME instead of street and number)
No .......... Highland Ayer Winthrop
treable @ Thielelo
1 2 FULL NAME.
(If deceased is a married, widowed or divorced woman, give also maiden name.) 36 Coral Live
St
(If nonresident, give city or town and State)
Length of stay: In place of death .... years
2
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
March 14
(Month)
(Day)
1961 (Year)
4 I HEREBY CERTIFY,
Rec
19.
50
to March 14
61
I last sa
hi Walive on March 10
19.01, death is said to
have occurred on the date stated ahove, at 2:30 Pm.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE (a) Congestive heart failure
INTERVAL BETWEEN ONSET AND DEATH
Due To
arteriosclerosis
(b)
11 yrs.
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Senility
Was autopsy performed?
NO
What test confirmed diagnosis ?.
5 Was disease or injury in any way related to occupation of deceased NO If so, specify B. Greenfield M. D.
(Signed>
OSSicenfield
M. D.
91 Shirley St
3 - 14/19/01
(Address) Winthrop Mass Date
6 Calvary Cemetary
Place of Burial or/Cremation
(City or Toyn)
DATE OF BURIAL .. That 17.1966
7 NAME OF
Hillary E . Jern
ADDRESS 2.57 Maple if tym1
Received and filed. MAR 16 1961/ 19
(Registrar)
PERSONAL AND STATISTICAL PARTICULARS
9 COLOR
8 SEX
stale White
10 SINGLE
MARRIED
(write the word)
or DIVORCED
1fa If- married, wittywed, 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
85%
approve
If under 24 hours
AGE
.. Years
Months.
.. Days
.....
Hours.
Minutes
13 Usual
Occupation :
Office Manager
(Kind of work done during most of working life)
14 Industry
or Business :
Insurance
15 Social Security No ...
16 BIRTHPLACE (City)
(State or country)
OBreton Mass
17 NAME OF
FATHER
unable To obtain,
18 BIRTHPLACE OF
Ireland
FATHER (City).
(State or country)
19 MAIDEN NAME
OF MOTHER
nable to obtain
1 MOTHER (City) (State or country))
Millions Common y replace
21
Informant
(Address)
114 Oltrealla It dejours
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the hurial or transit permit was issued : Ralph E. Sirianni (Signature, of Agent of Board of Health or other) HE) CH
ma2+16/1961
(Official Designation )
(Date of Issue of Permit)
'IONS
RTIFICATE
ing DEATH enter n one each and (c)
not mean of dying, t failure, It means or compli- h caused
if any, rise to € (a), under. e last.
contrib- but not terminal ion given
apter 137, requires print or :ause or
leath on
cates.
100M -: 1.55-9:6145
-301A 1
CERTIFICATE OF DEATH
Registered No.
PHYSICIAN - IMPORTANT
(Was deceased a
U. S. War Veteran,
if so specify WAR)
(a) Residence.
No
(Usual place of abode)
months. days. In place of residence years months. .days.
That I attended deceased from
19.
6. Mc Donald
PARENTS
20 BIRTHPLACE OF
Ireland
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
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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