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Home My WebLink About1105 ~ CERTIFICATE OF DEATH ,Z~3fi~c:e~ Depet.~e.t .t lk.li6 .pd R~6.bila.u.c S~..~ae. STATi Fllt HO. ia ~~~c~ c~ i~rri-n~ F L O R I D A ' T1f?E. OR ~tlNi IN ~~w~.r.an.~rr.s REGI6TRAR•S NO. ~[lMAN[NT INK DECEwSfO-N,wf ~~~u ~weu us~ ~X Dw1E Of OE~IH ~~o..c¦, o.~, ~t•~ ~ f[E /i~0100[ fOt rma~aa ARTHiIR C. BOPST , Male May 9. 19?1 RACE rnrn, ..iaw, +rtucaw r.our, AGE-ust u~we• ~+e•~ urw~ ~ w~ OAiE Oi ~1~iM ~ w.~iw, o~~, ~Q~Tr pf pEAiM ~a_ ~ v~un ~ ~~~nro.. ~ Te.~s ~ .ws. w.s ~ows ~ • ~ White ?8 „ k ~;arch 31, 1893 Braward CIIY, TOMM. OR IOCAiION Oi OfAM ws~ot c~~ u+~+s MOSMiAI OR O1HER NSi1TUi10N-NAMf .u np~ ~M 1.nk~, a~+e f~ntr ~~o ~wsa ~ 6 ~ sncvr .ti w ?.o Fort Lauderrlale Yes Broa~ard General ::elical Center ~ SUTE Of WTM ~w roi w ~.s.•., w...e dT11EN Oi WMAT COtJNiR~ MARR~fD. NfVER r+u~t~EO. SVRVI1~fiG S~Ol15E ~r va~, a~t r.wer «~we ~ ; tow*n t W wEO, tj1v0 CEO ~ s?~crr i = . Maryland USA ~I arrie~ Marie E. Hormes i iwea eece~uo ~CURrTY NUrwlER i1SUAl OCCWATION ~w•~ iw0 0~ ~i oW.! Ouu~w rOf~ O~ IlM~ep pF WSWESS OR INDInTRY ~MO. r a~w~ ` OCCYMlO M MrWaMKr NIf. MN Y ftTN101 . 263-?6_9990 u.. Postal Trans~ortation U.S. Fost Office ' .es~u..c. aw.. j ~o.ussw«• RESiDENCE-SfAfE CWN~r Cm, ~OWN, OR LOCAiION w~ ~~rtf STlEE/ ANO NU~UEI ~ ,Yt`yf Tet 824 S. Rio Vista B2v~. ~ ,w Florida ,p Brv.~rard Fort Lauderdale Yos ~ fwTnfR-wwME ~usi ,.mae us~ MOIMER-AUWfH N.wF ~asr r.oae w~ t „ George S.C. Bopst ~Nettie J. Sponseller i INfORMANi-NAME MAl4iG ADGRE55 ~t~u~r o~ ~.~.e. j+o.. uhr oe *o..., fr.q. ev~ ~ ~ Mrs. I~arie E. Bopst 824 S. Rio Vista Blvd.. Ft.Lauderdale~rla.33?e5 ~ pEAM wwS UUSED ~Y: EME! OrA~ ONE C~USE ER !WE ~OR ~ 6 4N0 ~ ~?I~~~.Mi~ •~.'l~~~\ ( 1 ( l. ( )1 ~ewe~M o~st* ••o w.:w = - N (rrea. uua~~~~./~..tG~`''i/ - ~1 . ~ I ` - , ~s ~ c »uow t r: : • a ' i ~ CO~:Qt'IOMf. l~ ~~rt, _ tNl(/~ G~r~ •IS! 10 ~rr~oure uuse w,, u•s . ca+uoue.~ce w: - sr~siwa *w~ u.ota- a~Na t~vsi usr kl ?ART OT IGNifKAMT CpNQ1T1pN5: cd.anons cdnwun.w q ourw w~ wo~ ~tune ro c~use ~tw r~ ru~ ~ a~ ~«S~ If 1/ES r~~o...as ca+- i ~ :~~'f'v`"'- J ~na o~ ..o~ s~w~e~ wn..,.~»c une I w ot.iw ~ ~b N~ N~ . ~ ~?r~bo6!~ 1 ~CUOENi- icioE ot OATE WlUtl/ iro..rw, a.•, n.a~ NOW IWURY OCCURtEO ~ wrvn or ~KiueY ~r r.n ~ w~.zr mr ~ iq4RICIDEj Ot EUMINfD ~M }O~ !It- M !OI INJUtY Ai WORK ?UCE Of MJi1RY •t wort, ~~er, f*~etL rKtOe~, IOCATION ~ Sntl~ O~ ~.r-o. MO., t~n O~ tOrN, t~~n ~ ~ s?eun ns w..o~ oN~ce ~nc.. e~c. ~ s+eun ~ ~M. 7of. „F CERiYK/?T10N- ..o..rw w~ n•~ ra+n~ wr •w wo usr s.r Mriwe~ ~~.e a+ ~ Dw/~/0 r+Ot vKr m! OE~TM OCGU~lEO n.[ ruct, w~e < ~NTSKut~: rO~m O+r rw ~OOr ~rtei Olam. ~ . ~f o•rt. :O ~e ~et~ ~ ~ ~i~lnfl[O TME ~V 9 19n ~ ~OT1 O~ rt [Wrif'X.t. Ob~! - fla eece•s~o nor fl~. f ttc 111. !b. ' Y M. *O TMt 4uua+ sr.fea. ~ ~ CERfifKwTlpN-MfO~Cwl ExwMU+ER OR COR~r+ER: o.. rwe us~a a n~e wou~ o~ oe.m rMe acca..~ ..s rw~w•.ceo ouo tLVaw~fqa Or Mt qOt ~MO/O~ ~1K WY~SfI('i~~~ON~ tM r~ O?~qw, rOMM Ywt M6V~ ;~M OCCVt~tD ON Mt O~R ~MO OL! 10 M UVSl~s~ sr~no. ~ 4~~ p~ M. rn. ~ A ~ 4' ~ p' N. 7 CERtIHER-NAMf mn o~ ~n~n S~GNA otc~e[ nnt • OATE SIGNfO o.• tu~ ~ ~ ~ May io, i97i = n.. Paul IrJ . Hug.hes . ~ ~ ~/~l. , rJ ~ ~ : ~ MIA~lJCs ADOlESS-CERIIfIER 242~"`~: ~ ~~f: Avenue `~or~~ ~..auderdale ~Yorida 33~(?2 tx ~URIAI, UEMATION, Rfl+10VA1 CfMfiERY OR CREMAiORY-N~ME IOCAflON 4n M qrw fc~~t # 1 S?K~ ? ~ Removal H,_ Rxkville Maryland DATE ~rp+tw, 0~~, eE~~~ fUNEQAI HOME-NAME ANO AJORfSS ~ Snt[t O~ ~ ~ O MO*., Gtt Ot t0~'r~. Sr~tE, in t 7~~~ ,N. NaY 13. 1971 ~ Fairchil~ r~ineral Ho~es . 2g9 ,L Fe~ . 7`.iy. . Ft•Iauc' erd ale . F13 . 31, Y. S. ~612 ~UNERAL WREQ SlW~!niU~Rf~ REGISTRAR- . nwt ~ F 1, ~,~[Gi~E~YED ?oc~? ~tG~s•+•s1 ~ Rev.1970 ts? s~•~. .J.~.+~.-~.r~/ ~M ~ ~ nA. ~Y}~,Ctr,t~ fzu f~%!1-~ ~d , ~ - -r-. - ~ . ~ . . - _ ' . a CERTIFIED COPY ~ ~ Z `~A NT . '~r -1_ ~.I~~ -.,`m. ~ r ~ I hereby certify the above to be a true and correct copy of the Local ~ ~ Registrar's record on file in the Broward County Health Departroent at ~:~-~.v Fort Lauderdale, Florida. W - • ~ ~ ' - w --,~~1~T, ~ •w O.j't=~ W ~ 'A "'~G ~ :~M~j~ o~~: /,=Not valid unless raised seal of the Broward County Health o~`~ ~ '°.,~axtment is affixed. • _ ~ o• ~r ~ -w,.~.. ~ ~-~I >O ~ . ~ 7 ~ ; 7 7 : G~ ' ~ ~ . ~r~~~•f,,~A •e ry ; 2~ ~ . L;, ~fT~ ~ r, Coun Health Of icer and~ Local Kegistrar . ~s~~j ;~c'~' ; : ~ t f s - . . . . L, 2~ /A 0 R ' • • • • 1~~-"~ Deputy cal Registrar ~ . .,t.~ ~ ~q i:~ - . .