USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1962 > Part 23
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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 aftendance 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 fertig ORpy the action of chemical
(drugs or poisons) thermal, or electffa &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 SERVICE NUMBER
'ORM R-301
1
Winthrop
(City or Town)
The Commonwealth of Massachusetts KEVIN H. WHITE SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS STANDARD CERTIFICATE OF DEATH
(City or Town making this return)
Winthrop Community Hospital No
[(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). No
(a) Residence. No ..
325 Shirley St., Winthrop, Mass St
(Usual place of abode)
(If nonresident, give city or town and State)
Length of stay: In place of death .......... years ......... months .......... days. In place of residence/ ...... years .......... months .......... days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
FEMALE
9 COLOR
WHITE
10 SINGLE
MARRIED
(write the word)
MARRIED
DIVORCED
UNKNOWN
11 lf married, widowed, or divorced HUSBAND of IRVING
(Give maiden name of wife in full) FISHER (Husband's name in full)
INTERVAL (or) WIFE of BETWEEN ONSET AND DEATH 12 66 2YRS Years .. Months ....... Days
If under 24 hours
Hours ....
Minutes
13 Usual
Occupation :.
HOUSEWIFE
( Kind of work done during most working life)
14 Industry
or Business :
AT HOME
15 Social Security No.
16 BIRTHPLACE (City)
(State or country)
RUSSIA
17 NAME OF
FATHER
ZELICK
BIX
18 BIRTHPLACE OF
FATHER (City)
(State or country)
RUSSIA
19 MAIDEN NAME
OF MOTHER
MINNIE CHECKMAN
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
RUSSIA
IRVING FISHER
21 Informant
(Address)
325 SHIRLEY ST. WINTHROP
I HEREBY CERTIFY that a satisfactory standard certificate of death was filed with me BEFORE the burial or transit permit was issued: Trackte E terearriba
(Signature of Agent of Board of Health or other) Whatthe Chiar
(Date of Issue of Permit)
T V.B.
A TRUE COPY ATTEST:
15 1962
(Month)
(Day)
(Year)
4 IHEREBY CERTIFY , That I attended deceased from JAN 19:55 1962 to .. JUNE 15
I last saw he alive on
JUNE 14, 196 death is said to
have occurred on the date stated above, at
12 2 Am
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
MYLLOGENOUS LEUKEMIA-CHR
(a)
Due To (b)
Due To (c) ....
OTHER SIGNIFICANT CONDITIONS
NONE
Was autopsy performed?
What test confirmed diagnosis ?
CLINICAL + BLUD
5 Was disease or injury in any way related to occupation of deceased 3 ... 0 If so, specify
(Signature)
M. D. MYRIA
(Print or Type Name)
(Address) 222 PLEATSIONI JI Date. FATTE !!!
6/15062
6
BETH ISRAEL - EVERETT
Place of Turial or Cremation
(City or Town)
DATE OF BURIAL
JUNE . 17
19
62
7 NAME OF
FUNERAL DIRECTOR
MORRIS W BREZNIAK
ADDRESS
470 HARVARD ST. BROOKLINE
Received and filed
JUN 15 1962
19
(Registrar)|
:- 62-932382
il: for burial permit oard of Health oits Agent. I TRUCTIONS FOR IEL CERTIFICATE
3
-13
Ur OR TYPE S OR CAUSES O DEATH
d not enter ne than one ale for each (:, (b) and (c)
& does not mean ode of dying, heart failure, R, etc. It means dase, or compli- " which caused
ntions, if any, i gave rise to cause (a), tg the under. cause last.
Csditions contrib- death but not to the terminal s condition given
X PLACE OF DEATH
Suffolk (County)
2 FULL NAME. Ida Fisher (Bix)
(If deceased is a married, widowed or divorced woman, give also maiden name.)
3 DATE OF
DEATH
JUNE
Registered No.
PARENTS
(Official Designation) 11 6/15/62
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE.
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
TOW
11
1
6
RULES OF PRACTICE JUN 151962 AM
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 froin 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.
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 Registered No.
117
S(If death occurred in a hospital or institution,
St. ¿ give its NAME instead of street and number)
Frederick M Williams
2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
82 Hermon Street
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
3 DATE OF
DEATH
June
24,
1962
(Year)
8 SEX
Male
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED
or DIVORCEparried
4 I HEREBY
october
CERTIFY,
61
June
24
62
62
19
death is said to
have occurred on the date stated above, at ... 6:1.5.2m.
INTERVAL
BETWEEN
DEATH WAS CAUSED BY : IMMEDIATE CAUSE
ONSET AND
DEATH
8 mos
(a) Carcinoma of the sigmoid
colon with metastasis to the
liver
Due To
(b)
Due To (c)
SIGNIFICANT OTHER Chronic cholecystitis CONDITIONWith cholelithiasis
2 mos
Was autopsy performed?
no
Clinical, laboratory
What test confirmed diagnosis ?
& Surgical
5 Was disease or injury in any way related to occupation of deceased? no If so, specify
M. 1). M. Traunstein, Jr/ / M.D.
(Address)
(PRINT OR TYPE SIGNATURE)
73 Bartlett Rd.
Date ..
June 25 ,1. 62
6 Winthrop
Winthrop
Place of Burial or Cremation
(City or Town)
DATE OF BURIAL
June 27
1,52
7 NAME OF
FUNERAL DIRECTOR
Howard S Reynolds
ADDRESS Winthrop, Mass
Received and filed JUN 20 1962 19
(Registrar)
10a If married, widowed, or divorced ude Annis
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
74
6
Months
3
If under 24 hours
AGE
Years
.Days
Hours ........... Minutes
13 Usual
Occupation :
Carpenter
(Kind of work done during most of working life)
14 Industry
or Business :
Department Store
15 Social Security No. 023-09-5899
16 BIRTHPLACE (City) (State or country) LngLand
17 NAME OF
FATHER
Samuel Williams
18 BIRTHPLACE OF FATHER (City) (State or country) England
19 MAIDEN NAME
OF MOTHER
Mary Herbert
20 BIRTHPLACE OF
MOTHER (City)
(State or country)
England
21
Gertrude Williams
Informant (Address) 02 Hermon St. Winthrop, lass.
I HEREBY CERTIFY that a satisfactory standard certificate of death was hled with, me BEFORE the burial_or transit permit was issued:
(Signature of Agent of Board of Health or'other) Health Officia
6/26/62
(Official Designation)
(Date of Issue of/Permit) {
AV.BV
ITRUCTIONS FOR DIAL CERTIFICATE
In giving UE OF DEATH
not enter are than one c .se for each ). (b) and (c)
h does not mean ode of dying, s heart failure, ez, etc. It means dease, or compli- which caused 01
o'itions, if any, lh gave rise to be cause (a), Long the under- vi' cause last.
Conditions contrib- uto death but not t to the terminal a condition given
0 :- Chapter 137, sf 1954. requires ians to print or the cause or of death on t certificates, and er 48, Acts of requires Physi- to print or type inder signature.
M-11-59-926662
(Month)
(Day)
That I attended deceased from
I last saw h ...
alive on
June 24,
im
19.
to ....
No.
Winthrop Community Hospital
PHYSICIAN - IMPORTANT [(Was deceased a U. S. War Veteran, (if so specify WAR)
(a) Residence. No. (Usual place of abode)
7
50
To be filed for burial permit with Board of Health or its Agent.
OM R-301A 1
PARENTS
(Signed)
1. Transfer
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE TOR DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
6
THROT
JUN 2 61962 AM
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.
PLACE OF DEATH
Suffolk
(County)
Winthrop
(City or Town)
Mayflower Nursing
The Commonwealth of Massachusetts JOSEPH D. WARD SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
To be filed for burial permit with Board of Health or its Agent.
118
[(If death occurred in a hospital or institution, St. ¿ give its NAME instead of street and number)
PHYSICIAN - IMPORTANT
2 FULL NAME
Mary C. Burke
( First Name)
(Middle Name)
(Last Name)
Murray
[ (Was deceased a
U. S. War Veteran,
[if so specify WAR) No
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence. No.
(Usual place of abode)
Length of stay: In place of death .. ...
... years ... ........ months.
days. In place of residence 30
.years ..
months.
days.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
Female
9 COLOR
White
10 SINGLE
(write the word)
MARRIED
WIDOWED,
or DIVORCEDi dowed
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Thomas F. Murray Burke
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
97
AGEZ
.Years ........
.Months ...
Days
If under 24 hours
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
LittleRock
16 BIRTHPLACE (City)
(State or country)
Arkansas
17 NAME OF
FATHERernard Murray
18 BIRTHPLACE OF
FATHER (City)
(State or country)
Ireland
19 MAIDEN NAME
OF MOTHER
Mary Montgomery
20 BIRTHPLACE OF MOTHER (City) (State or country) Ireland
21 Informant E ...... MurrayBurke
(Address)
138 Loring Road 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>
Health Officer
6/2/62
(Official Designation)
(Date of Issue of Permit)/
WRUCTIONS FOR CI CERTIFICATE
} giving SJOF DEATH
ciot enter o than one u for each a (b) and (c)
s oes not mean m'e of dying, a heart failure, u etc. It means is se, or compli- s which caused
dons, if any, Ci gave rise to uu cause (a), is the under- g cause last.
o'itions contrib- t death but not d) the terminal e ondition given
a :- Chapter 137, sf 1954. requires ians to print or e the cause or s of death on t certificates, and 'er 48, Acts of 9 requires Physi- nto print or type bander signature.
-60-928145
RI R-301A 1
056
No.
30 Grovers Avec
INSI PETITE
STANDARD CERTIFICATE OF DEATH Home
St.
( If nonresident, give city or town and State)
3 DATE OF
DEATH
June 28
1962
(Year)
(Month)
4 I HEREBY
CERTIFY
(Day)
That I attended deceased from
Jan. 27,
19.5.9
to ...
June 28
19
62
I last saw heralive on
June 28
1962
death is said to
have occurred on the date stated above, at
2:3: P.m.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
(a) Arteriosclerotic heart Disease
INTERVAL BETWEEN ONSET AND DEATH
Due To
(b)
Generalized arteriosclerosis
Due To (c)
OTHER
SIGNIFICANT
CONDITIONS
Old Age
Was autopsy performed?
.no
What test confirmed diagnosis?
Physical ..... Examination.
5 Was disease or injury in any way related to occupation of deceased? ... no. If so, specify Q) ...
(Signed)
John F. Collins, N.D.
(PRINT OR TYPE SIGNATURE)
(Address)
27 Pennington St, Date.
June 290 62
RATEMA i ass.
6 St. Joseph's West Roxbury (City or Town)
Place of Burial or Cremation
DATE OF BURIAL ..... June 30 196219
7 NAME OF
FUNERAL DIRECTOR
Arthur J. O'Maley
Winthrop, Mass
ADDRESS
Received and filed
June 29.
19 6-2
(Registrar)
years
M. D.
PARENTS
138 Loring Road
Registered No.
10
SPACE FOR ADDITIONAL INFORMATION
DATE OF ENTERING MILITARY SERVICE
DATE OF DISCHARGE
RANK, RATING
ORGANIZATION AND OUTFIT
SERVICE NUMBER
( )
....
LERK
ROP
JUN 2 91962 AM
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.
PLACE OF DEATH
Suffolk (County)
NTI
Winthrop (City or Town)
The Commonwealth of Massachusetts EDWARD J. CRONIN SECRETARY OF THE COMMONWEALTH DIVISION OF VITAL STATISTICS
STANDARD
CERTIFICATE OF DEATH
To be filled for burial permit with Board of Health or its Agent.
No. Winthrop Convalescent Home 142 Pleasant St. Mary Lizzie ( Ordway) Kibbey 2 FULL NAME
(If deceased is a married, widowed or divorced woman, give also maiden name.)
(a) Residence.
No.
260 Bowdoin
(Usual place of abode)
St.
(If nonresident, give city or town and State)
Length of stay: In place of death.
years
4
months
& days. In place of residence .:
10
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
female
white
9 COLOR
10 SINGLE
(write the word)
widowed
MARRIED
WIDOWED
or DIVORCED
10a If married, widowed, or divorced
HUSBAND of
(Give maiden name of wife in full)
(or) WIFE of
Fred Lester Kibbey
(Husband's name in full)
11 IF STILLBORN, enter that fact here.
12
AGE
9tears. 6
Months
25Days
If under 24 hours
Hours _.... Minutes
13 Usual
Occupation :
Housework
(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)
Santon, Minnesota
17 NAME OF
FATHER
George Henry Ordway
18 BIRTHPLACE OF
FATHER (City)
Fairlee, Vermont
(State or country)
19 MAIDEN NAME
OF MOTHER
Elizabeth Eager Crooks
20 BIRTHPLACE OF
MOTHER (City).
Charlestom, Mass.
(State or country)
21
Informant
Mrs. Philemon C . Neal
(Addres960 Bowdoin 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 :
(Signature of Agent of Board of Health or other)
6/10/62
S UCTIONS FOR A CERTIFICATE
Ingiving EOF DEATH
ot enter rthan one 11 for each ).b) and (c)
does not mean IG of dying. s heart failure. attc. It means ee. or compli- "which caused
ins, if any, ave rise to cause (a), the under- cause
- (b)
Due To
arteriosclerosis heatdeine
10 yrs
Due To (c) senility
OTHER
SIGNIFICANT
CONDITIONS
Was autopsy performed?
NO
What test confirmed diagnosis ? ...
5 Was disease or injury in any way related to occupation of deceased ? If so, specify NO
(Signed) Hos hurenfald M. D.
(Address) 1475 historyst Date
.19.
6 Post Mills Place of Burial or Cremation (City or Town) DATE OF BURIAL July 1 19.6.2
Thetford, Vermont
7 NAME OF FUNERAL DIRECTOR Alfred B. Marsh ADDRESS174 Winthrop St. Winthrop, Mass.
Received and filed
19
JUN 29 1962 (Registrar)
1962 (Year)
4 I HEREBY CERTIFY,
That I attended deceased from
Jan
19.
52, to June
19
I last saw MAalive on
May 29, 199, death is said to
have occurred on the date stated above, at
3:30 Am.
DEATH WAS CAUSED BY: IMMEDIATE CAUSE
Congestive heart failure
(a)
INTERVAL
BETWEEN
ONSET AND
DEATH
MEDICAL CERTIFICATE OF DEATH
3 DATE OF
DEATH
June 29
(Month) (Day)
50M-1-58-921876
RJ R-301A 1
last.
wions contrib. death but not the terminal ondition given m.c. Chapter 137, 1954, requires as to print or e cause or of death on rtificates.
PARENTS
Registered No. 119
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,
if so specify WAR)
(Official Designation) (Date of Issue of Permit)
ife
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.
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