USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1961 > Part 3
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Did injury occur in or about home on farm, in industrial place, or in public place?
Manner of -(Specify type of place)
Injury
(How did injury occur?)
Nature of
Injury
While at work?
Was autopsy performed?
yes
6 Was disease or injury in any-way-related-to occupation of deceased ?.
If so, greify-y .t.Benson (Signed): 09 Lain St, Winchester 1-11-51 M.D.
Satidrept:+ Cometery NoDRAKinsan ... 19.
7 Place of Burial, or Cremation. 1 - 16City for Town).
DATE OF BURIAL.
8 NAME OF Alfred B. Marsh 19
FUNERALI DIRECTORthrop St., Winthrop, Mass: ADDRESS
Received and filed FEB 13 1561 19
(Registrar of City or Town where deceased resided)
PERSONAL AND STATISTICAL PARTICULARS
9 SEX Flemale
HP COLOR OR RACE
11 SINGLE
MARRIED
WIDOWED
or DIVORCED
(write the word)
Married
11a If married, widowed, or divorced --
HUSBAND of.
A I Sir paidea paresof rifs in full)
(or) WIFE of
(Husband's name in full)
12 IF STILLBORN, enter that fact here.
55
27
AGE
Years.
Months.
Days
"If under 24 hours
Hours ........ Minutes
14 Usual
Occupation :
(Kind of work done during most of working life)
15 Industry
or Business:
own home
16 Social Security No ..
Eagerstown
17 BIRTHPLACE (City).
(State or country)
Mass.
18 NAME OF rancis Joseph Marshall FATHER
PARENTS
19 BIRTHPLACE OF
FATHER (City)
(State or country)
Mass.
20 MAIDEN NAME
Charlotte Bearse
OF MOTHER
21 BIRTHPLACE OF
MOTHER (City)
Mass ..
(State or country)
Albert Walter Howe
22 Floyd St., Winthrop, Mass.
Informant.
(Address)
A TRUE COPY.
Elsie M. Nelson
ATTEST:
(Registrar of City or Town where death occurred)
DATE FILED 1-17-61 19 --
WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD Copies of returns of deaths which occurred in your city or town in case the deceased resided in another city or town at the time C
after the close of the month in which the death occurred. (See Chap. 46, Sec. 12, G. L.) of death should be transmitted on Form R-305 to the clerk of the city or town in which the deceased resided as soon as possible
25M-5-52-907046
PLACE OF DEATH
ORM R-305 -
No.
Winchester Hospital
(Was deceased a
no
St.
13
housework
none
Hyannis
RECEIVED
TOWA
OF
11.02.
TiLERI
3
0
MASS.
FEB 1 31961 AM
1
1
RM R-301A 1
NSTRUCTIONS FOR . CAL CERTIFICATE
In giving SE OF DEATH
do not enter ore than one use for each a), (b) and (c)
s does not mean mode of dying, os heart foilure, mia, etc. It means isease, or compli- which caused
ditions, if any, ch gove rise to tue cause (o), ing the under- g couse lost.
onditions contrib- to deoth but not l to the terminal e condition given
e :- Chapter 137, of 1954. requires cians to print or the cause or s of death on certificates, and er 48, Acts of requires Physi- to print or type under signature.
M-11-59-926662
PLACE OF DEATH
Winthrop (City or Town)
76
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD
CERTIFICATE OF DEATH
Registered No.
11
Summit Avenue
S(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,
[if so specify WAR)
76 Summit Avenue
St.
20 (If nonresident, give city or town and State) 8
Length of stay: In place of death .............. years. 8 months. 20 days. In place of residence .............. years ... months .days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
January
16,
1961
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY,
60
April 27,
19
to
January 16.
19.67
I last saw h .. . lalive on
January
16
61
19 ...
death is said to
have occurred on the date stated above, at
10:15 a. m.
INTERVAL
BETWEEN
ONSET AND
DEATH
83mos.
Due To (b)
Due To (c)
OTHER
Abdominal ascites
3 wks.
SIGNIFICANT
CONDITIONS
Was autopsy performed ?
no
What test confirmed diagnosis ?
Clinical & Laboratory
5 Was disease or injury in any way related to occupation of deceased ? no If so, specify
(Signed) Me, Traunstein .. , M. D.
M. Traunstein, Jr., M. D. 1/
(PRINT OR TYPE SIGNATURE)
(Address) 73 Bartlett Rd. Date. Jan. 16.161
FOREST
6
Place of Burial or Cremation
DATE OF BURIAL
Jan
18
7 NAME OF
FUNERAL DIRECTOR
William H ButlER
ADDRESS 50 ALBION ST, WAKEFIELD, MASS
Received and filed JAN 1 3 1991
19
(Registrar)
PARENTS
19 MAIDEN NAME
OF MOTHER
ROBERTA E. R.lEy
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
MASS
Boston
21 MRS ROBERTA E SCHIlle
Informant
76 Summit AVE, WAnthrop
I HEREBY CERTIFY that a satisfactory"standard certificate of death was filed with me BEFORE the burial or/transit permit was issued: Malph E. Vercanne (Signature of Agent of Beard of Health or other) 1/ 16/6/
40 .7
(Official Designation) (Date of Issue of Permit)
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE ...... ) .... Years
8
Months
20 Days
If under 24 hours
Hours
.Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business :
15 Social Security No.
· WINTHROP
16 BIRTHPLACE (City)
(State or country)
MASS
17 NAME OF
FATHER
William S. SCHillE
18 BIRTHPLACE OF
FATHER (City)
Stratford
(State or country)
Conn
Winthrop Mass WAKEFIELD (City or Town) 1961
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
FEMALE
9 COLOR
white
10 SINGLE
MARRIED
WIDOWEINING/E
or DIVORCED
(write the word)
2 FULL NAME
(If deceased is a married, widoved or divorced woman, give also maiden name.)
(a) Residence. No. (Usual place of abode)
No. NANCY MARY SCHILLE
To be filed for burial permit with Board of Health or its Agent.
INSF PF TID
X Suffolk (County)
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
(a)
Myelomeningocele with
hydrocephalus
That I attended deceased from
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.
ERK
3
MIN
* WIN
OFF
AV 19619 H Ner
>Statement of Cause of Death .- Physicians: see explanatory instructions face side of standard certificate of death.
COstatement of Occupation .- Precise statement of occupation is very impor- went, so that the relative healthfulness of various pursuits can be known. Make me entry in this section for every person aged 10 years or over. If the occupa. mon had been given up or changed, or if the deceased had retired from business, mtport 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. "Hor a person engaged in domestic service for wages, however, designate the Doccupation by the appropriate terms, as housekeeper-private family, cook- hotel, etc. For a person who had no occupation whatever write none.
Feta
ORM R-304
In giving CAUSE OF ETAL DEATH do not enter more than one cause for each of (a), (b) and (c)
tal or maternal ndition causing tal death (do ot use such rms as stillbirth prematurity. ) tal and/or ma- nal conditions, any, which gave se to above use (a), stating e underlying; use last.
onditions of fetus mother which ay have contrib- ed to fetal ath, but, in so r as is known, ere not related cause given (a).
5M-6 -60-928241
Suffolk (County , PLACE OF DELIVERY No. Winthrop Community Hospital, Winthrop
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.
12
(If death occurred in a hospital or institution, give its NAME instead of street and number)
3 DATE OF
DELIVERY
Jan. 17, 1961 Month
( Day )
(Year )
4 SEX
Male . .. FemaleX .. Undetermined
...
5 COLOR (if
determined) W
6 THIS BIRTH (Check one) Single A Twin Triplet.
7 IF MULTIPLE BIRTH, BORN : 1st.
.2nd .3rd
FATHER
8 FULL NAME Alfred D. Sera
9
RESIDENCE, NO.
CITY OR TOWN
105 Garfield Avenue
Chelsea
STREET
STATE
Mass.
15 RESIDENCE, NO. CITY OR TOWN
105 Garfield Avenue Chelsea
STATE
STREET Mass.
10 COLOR OR
RACE. ..
White
11 AGE AT TIME O"
THIS DELIVI
37
16 COLOR OR RACE
White
17 AGE AT TIME OF THIS DELIVERY
35
(Years)
12 PLACE OF
BIRTH
E. Boston, Massachusetts
(City or Town |
(State or country
18 PLACE OF
BIRTH
Medford, Massachusetts (City or Town) State or country )
13 OCCUPATION Accountant
19 INFORMANT
Mother
20 PREVIOUS DELIVERIES TO MOTHER (Do not include this fetus ) Six
(a) How many children are now living ?
6
23 WHEN DID FETUS DIE? Before X Labor
24 AUTOPSY
Yes
.No
X
25 FETAL DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Placenta Previa
Due To (b) Premature Separation of Placenta Due To (c)
OTHER SIGNIFICANT CONDITIONS
None
26 woodlawn, Place of Burial or Cremation
DATE OF BURIAL Jan. 15,
Everett (City or Town) 61
27 NAME OF FUNERAL DIRECTOR Johnt, Welsh 718 Broadway Chels() ADDRESS
Received and filed 19
Registrar )
I HEREBY CERTIFY that this delivery occurred on the date stated A. above at 12:30 m. and product of conception was not a live birth.
Signature ding Physician or Medical Examiner : a. Paul Delta joplin
. M.D.
A. Paul DerHagopian, M.D. (PRINT OR TYPE SIGNATURE)
Address
39 Cary Ave., Chelseaate
1/17/ .19 ... 61
I HEREBY CERTIFY that a satisfactory certificate of fetal death was filed with me BEFORE the burial or transit permit was issued : .
Ralph E. Seriaum Signature of Agent Cuff board of Health or other) HO 1/18/6/ X
(Official Designation ) ( Date of Issue of Permit
A TRUE COPY ATTEST :
14 MAIDEN NAME
(b) How many children were born alive but are now dead ? O
(c) How many previous fetal deaths of ANY gestation age ? 0
21 LENGTH OF PREGNANCY 6 mos, .completed weeks
22 WEICHT OF FETU 2 - Lb. Oz
(or
Grams )
During Labor
or Delivery.
Unknown
MOTHER Kathleen T. Griffin Kathleen T. Sera
PRESENT NAME
St.
2 NAME OF FETUS (if given)
Premature Female Sera
1 Winthrop (City or Town)
RECEIVED
FETAL DEATH
TOWN
OFFICE OF
11 12
10
MIN
00
5
6
AS
WIT
THRO
JAN 1961 AM
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 dead, 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.
1/ 19
the of certi
23 pr inder
re Ise
1 1: E
UM R-301A 1
ITRUCTIONS FOR IL CERTIFICATE
1 giving rs OF DEATH d not enter ne than one ale for each (a) (b) and (c)
isdoes not mean a. de of dying, heart failure, m1 etc. It means Hiise, or compli- which caused
tions, if any, gave rise to cause (a), the under- cause last.
Iditions contrib- death but not do the terminal condition given )
o :- Chapter 137, f 1954. requires ians to print or the cause or of death on certificates, and yer 48, Acts of Drequires Physi- mito print or type under signature.
AU.C.
0-928145
PLACE OF DEATH
Suffolk (County)
INSEPE
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.
Registered No. 13
S(If death occurred in a hospital or institution, St. } give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
Mary.A ..... McGillicuddy
(First Name)
(Middle Name)
(Last Name)
(if so specify WAR)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
39 Pico. Avenue
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
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
MARRIED
WIDOMarried
or DIVORCES
10a If married, widowed, or divorced HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
.WilliamH ........ McGillicuddy
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
If under 24 hours
AGE
70
İYears
Months.
Days
Hours ..........
... Minutes
13 Usual
Occupation :
Housewife
(Kind of work done during most of working life)
14 Industry
or Business :
Q.wn ..... Ho.me.
15 Social Security No.
No.n.c
Everett
16 BIRTHPLACE (City) (State or country) Mass
17 NAME OF
FATHER
William Harron
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary J. Meakin.
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Ireland
21
Nancy Mcgillicuddy
Informant
(Address)
39 Pico Ave., Winthrop
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me/ BEFORE the burial or transit permit was issued: Talalà Sercemne (Signature of Agent of Board of Health or other)
110 Jan 21, 1961
(Official Designation)
(Registrar)
PARENTS
6 Winthrop Cemetery Winthrop
Place of Burial or Cremation (City or Town)
DATE OF BURIAL January 23 61
19
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
ADDRESS Winthrop Mass.
Received and filed
JAN-24 1961
...... 19
61
I last saw but alive on
1/19
61
death is said to
have occurred on the date stated above, at
4. 45Pm.
.. m.
INTERVAL
BETWEEN
ONSET AND
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
BRONCHO-PNEUMONIA
UDS DEATH
(a)
Due To
(b)
CEREBRAL
5 mg
Due To
THROMBOSIS
(c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
What test confirmed diagnosis?
0
5 Was disease or injury in any way related to occupation of deceased? If so, specify
(Signed)
the o'Resan
M. D
FRED O REGAIN MID
PRINT OR TYPE SIGNATURE)
113 PLEASANT
Date 1/20 10 61
(Address)
WINTHROP
3 DATE OF
January 19 1961
DEATH
(Month)
(Day)
(Year)
4 I HEREBY CERTIFY
Dec 18, 1960
to.
1/19
That I attended deceased from
(write the word)
(a) Residence: No. .
(Usual place of àbode)
50
[(Was deceased a
U. S. War Veteran,
No
No.
.WinthropCommunity Hospital
(Date of Issue of Permit)
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
12 1.
SERVICE NUMBER
OFFIC
10
2 ...
5
6
THROP MASS.
RULES OF L CTICE
The fulfillment of the purpose of these laws calls for the observance of the following rules of practice : JAN 2 41961.4H persons (1) Attending physicians will ff 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.
to
----
CLERK
X PLACE OF DEATH
Suffolk
(County) winthrop
(City or Town)
20 Lewis Avenue
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. 13
J(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.)
25 Parkman
St.
Brookline, Mass.
(If nonresident, give city or town and State)
Length of stay: In place of death
years
3
months
days. In place of residence ..:
years
months.
days.
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
January 201961
DEATH
(Month) (Day)
(Year)
8 SEX
female
white
9 COLOR
10 SINGLE
(write the word)
MARRIED
WIDOWED
Or DIVORCED Widowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
Joseph Rosen
(or) WIFE of
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
68
AGE
Years.
Months
.Days
If under 24 hours
Hours _.... Minutes
13 Usual
Occupation :
(Kind of work done during most of working life)
14 Industry
or Business:
15 Social Security No ..
16 BIRTHPLACE (City)
(State or country)
Poland
17 NAME OF
FATHER
Morris Rosen (O.K.)
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Poland
19 MAIDEN NAME
OF MOTHER
(unknown)
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
Poland
Pride of Jacob, Wixt West Roxbury
6
Place of Burial or Cremation
DATE OF BURIAL
January
22,
(City or Town)
19 ...
61
7 NAME OF
FUNERAL DIRECTOR
430 Harvard Street, Brookline
ADDRESS
Received and filed JAN 2-4-1961 19
(Registrar)
PARENTS
21
Estelle Cohen
Informant
(Address) 20 Lewis Avenue, Winthrop, Mass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the buyfal or transit permit was issued: Kalff E Serianni Cafenature of Agent of Board of Health or other) Jan 21-1961
(Official Designation) (Date of Issue of Permity
X
STRUCTIONS FOR AL CERTIFICATE
In giving UE OF DEATH not enter gre than one cise for each ), (b) and (c)
Ts does not mean ode of dying, s heart failure, ti, etc. It means ease, or compli- which caused
Itions, if any, gave rise to cause (a), 5 the under- cause last.
- (b)
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
no.
What test confirmed diagnosis? Clinical & cytological
5 Was disease or injury in any way related to occupation of deceased ? NO Ernst Cohn, M. D.
(Signed)
39 Columbia Road, Dorchester
Datalan.21,
19.61
M. D.
(Address)
50M-5-57-920345
No.
2 FULL NAME Bertha Rosen
PHYSICIAN - IMPORTANT
-
(Was deceased a
U. S. War Veteran,
no .
if so specify WAR)
(a) Residence. No.
(Usual place of abode)
4 I HEREBY CERTIFY,
Apr.21,
610
That I attended deceased from
Jan. 18,
19
61
I last saw h .__._. alive on
er
19
61
to
Jan.18
19
, death is said to!
have occurred on the date stated above, at
6 a. m.
INTERVAL
BETWEEN
ONSET AND
DEATH
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Carcinoma of the ovarium
1 yr.
metastic to abdomen
METASTETTE Due To
Housewife
Oditions contrib -- > Bo death but not to the terminal condition given
:- Chapter 137, Bf 1954, requires mians to print or the cause or of death on certificates.
CRM R-301A 1
17 ---
Benjamin F.Solomon
30
PERSONAL AND STATISTICAL PARTICULARS
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
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