The URL can be used to link to this page

Home My WebLink About0389 .3 CEFc i tFIC~'a'i'L OF DEATH ' - ' ~cp~?1wea1 0l l~e~lt~ ~a~ R~6al.ilil~Nre Serrlce~ lfATE FlL6 ISP. ~~v~n~:~ur-~u~n»~~ FLORIDA t~IE, OR ?I~Nt IM ~~~LL°~~' REGI6TRAR•5 NO. ?ItMA~tIN1 fNK p~~EwSEU-NAME ~uit rwou SE7I OwtE Ot I~:w1N i.o«r., o.~, .u~ ~ S`( M1t0190[ (0l r~s~wc~a~s ~ ~DWARD M. ANDERSON : Male ~ Anril 22 1.97'+ twCE ww~~e. www. Y~I~K~N twOUM. AGE-i.u u..:.~~ ~~i-+-.:~ u.~e~ ~ o.. OATt GF ~~iiM ~..a.~... w.. ~COU?+tr Ji OEwin - QG. 1 f~ICMt 1 ~utMOwt 1~L~~SI rpf. 1 Ou~f wW~f rw. ~j ~1~~ ~ ~ ~ White 57 ~ k ~ Dec.22,1916 Broward GiY. 10~. OR IOCAl10N OF pEAiH ws~w ca. .~a«~ NOSt~iwl OR Oin:t NS111u11Oti-I`4ME i~~ wr ~N ~lin~~. 41~1 ~~YII ~MD »u.~~t~ ~ ~ \ I~l ~ wcw+ n~ oa ~.o ~ ~1~~',,, Fort Lauderdale Yes H. Holy Cross IiospiCal ~ Si~tE Ot ~?It1M ~ r ro~ n~ u.s..., N..~ CITIIEN Oi wHAt COU.`~14~ MAYtfEO, NEVER w.ARR1E0, 'SURYIVMG SrOtlSE ~w ~rNt, .u+ar waat ~ ~ eoww~ ~ WIDOw[O, DNORCEO ~ s?et.v ~ ; ~ Wisconsin USA ,e :`tarried »tiildred Aldrich ~ .M~e sece•ur S«~~ y~CUR~iY NUM6E~ VW~I OCCU~wTiON ~uv~ iws o~ .+o~a oa..t awws ~os~ o~ KN+O Of WS.~ESS OR INOIlSiRr ~ u.tO r N~M «cvano weara we. m.. u nn. ~ ,~s~~~~^~.~~* 263-18-2555 ~LSu erintendent of Servic ~aLauderdale Beacn Hotel ; ~evwwCe ~I.o~t w3~pl ~.n ~~r~ty S1REE1 ANU NUM~ER ~ •c+~nsq«. RESIDEHCE-Si~fE COUMr CIfY, TOMM. Ot IOCwT10N • ~ ~sntu+ ~~s ai .w~ ~ ,~.Florida Bro~ard ,k Laud-Bv-Tlie-Sea Yes 4524 ~Poinciana S~; ~ fA1NER-NAME ~~W ~u001! J 4i~ MOiNER-MAfOENNAME ~v1~ w~~ ~W~ ? ` ,s. Ed~ard H. Anderson riavme Tho~gson = IN(OtMANI-N~ME MAtYdG /~f:fiRESS ~inu~ w~.~.n. .a.. cm w~oM.., t~.n. is~ cJ S~ ~ O r l; Mrs. Mildred A. Anderson ,n4524 Poinciana Street, Lauderdale-5:•-T::i ~..a ?wtT L OEwM wwS CwuSED tY: {Eni[[ OHtr Oni UuSf ~ft ta+f ~OR (o~ ~e~ ~r+D (~N ~~~.~~y o.sr .wo cj 1!. ~...~oun c.uif N, l~~% ~'~;!/I~% ,~'l!! ~~'r- ~%ss r% ~ r' v`.~~ . . u~,. ~ ~ cowemaM~, N .M+, VM/CM G~1/~ use q W) ~ WrlM~t[ CaYS{ bl. ~Y! TO. O~ Y~ COMS[OYINCf O~: ' fuuwe iw~ uwoe.- lnNO CwY3~ U!f ~ f~' IAR11l. 01MER SiGN1iK1Wi CONOiTiO!'~S+ Cna~nO+s CO~uMY~u~ w M~a~ wr rbt Yuito ~o c.vM oMM r. ?~u ~ w~ AUTO?SY tf TES r~..n~..ef e~ ~ns a.a~ s-o~uo ~H oe~u..:~wa e o? ot•~w w N o ~w p.~p~y1~1 n.tC~DEr+i, WtC OR A ~rw*w, wr, n~a~ ?qUit HOW ItiJtltY OCCUxREO f iMt~ WN~t O? I~uY~7 Ir f~~T 1 q/~~~ u, A4a 1~1 ~ ~ ?G~tK~1~~1pt~ OR YI~EIEtMWtD w+O M? 71c. M. 70/ rt IN1UR~ AT WO~C KACE Of INIURY.~ wo..e, ~.u, s~n~, ~.nd+, (OCAiION ~ inen oe ~.~.e. .ro., un o~ ~o~., sun ~ ~ ~snann~o~.roi ar~~we.,ex. ~snc~r~ . 70~. IM „1 i ~[RiIF1:JlT10N- rw~~ ~at rw ron+M o~~ ~w ~ us. s.r ww/we~ ~uvt ou ~ ow/oro wo~ TMe Ot~tN OCW~~t~ ewe r:a:t. o~. ~ rnrsK~.w: t~ rw+*w w~ nu ~oo~ ~nt~ a~rx. ~wowi oar~, u..t ' ~ .rttNOto nu or a~~;eooe. ~ n. OK~~3fD /tOr ~~.2 7~/ l:~? 4/ 2 2 7 4 'S~ ..Z Z-7 ~~•D i d N o t:,. 4: 2 0 Plw ~o t~. ~ C(R11fICJ11{ON-~~DfCw? itAMhtfR pi GOfiONER: o.+ n~e e•s~s a r~.e nou~ p w.a rw~ o[ceo[~~ r.a .w..ou..c~o oe.a . lurw~tWM O/ IMf W07 ~w0/O~ twt wrfSrK'~UOw, ~w r~ pwtOw. rps O+~t 7t~1 wOW ~ m.m oewa.eo w nrt wa ~+w oue w r~ e.vsiai suno. ; rn n . CERS~FIEt-?rM+E ~nn w re~..n S~G?iwtuRE - ' oeeau a*~ne OwTE SiGr+fD •w ~ Dr. H. .Steele MD n?. ./r l' ,k4/23/74 MA~NG ADOitESS-CfRTI)1[R sruer o~ ~.r.o Mo. un oa rrn+N sr•re i,r ; ,i1- StreeC F'ort Lauderdale Florida [ lUCUI, CRfMA?ION; ifNAVAI CtMFIERY OR CIEMASORT-N~tf ~tOCAi10N t~n o~ rc`.w ~r•Tt F 1 SIRKf ) i Cre~nation Ro al Palm Cremator Pompano Beach, Florida ? ~ . ~a ti?. Y u~ _ ~ ' z l ~ ou~E (~~~~,o••1~J, ~JEORDA~ NFl'? En'~Ifssti0:''Et.~'S110.. \ o• rFede1raZ H~~y . Ft . Laud . FL t Ap_~r~~1~~_,~9 t y- 5. !~j!? fUNfRA iRfCiOR-~S/(sfj~/U~ . R:G~S:~af-S~~n~ru%f ~ ~ O~~E R[tt~~Ea ~r_tOCu ¦EG~S7i~a_ 1 " R e 1970 ~s~ ~!.lt. j'_'~..y~ (:c_n- x. ` 1 ~ ~ i' - l, ~ ~ . i!~ _.t ; • . ~ ( i ti; =t ~ i 7 ~i ~ ~ - ~ `z. ~ : . . . ' ` CERTIFIED COPY t3 : ~ . : 'vut~~~r f `-~~E._ e I her~e,~`}~;qe~f~~~i~above to be a true and correct copy ,of [he Lo~al ~ ; ~ ; R~g~s'Cra~.l~~iiadbr,~°5 ~',file in the Broward County Health Department at ~ . . s ~ f t'J4it~1t ~ ~ ~Fb~.Lau~erdale~ ~ l~~da. - ~ _}~y _ ~ . . ty/ . ~:i~~ .''a'! ~ • - . r ~ ~ . .F.:~y~•'~~iK . . Lrt , Cc `,jF t~ - (~,p`~,~}«No2~`~clwnless raised seal of -t,#~e Broward County Health ~ _ - r? .~LOdIQR". ti - ' '~•.Ilepaitt~~ht is affixed. ) N _ ' ; . , rF A ! c ~ o <::; -r s ' 1-O7-7S ,f~' ~ AN'~o $ : .y County Health Off' er and Local Registrar ~ - , ~ ~ 3 - a k ~ ~ 3~~ ~ BCuK~7t1 PACf Deputy Lo~1 Registrar t C + ~?~xxE'~`.i+~e~._ ~ ' - S -N ~.a~. .-'ir'. _.-F~.~-zc_ _ a~. . . " "