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CFA't1EIED Ar'~;FiACT U~ CE:Ai~-i C.'F~iIFICATE .LSO4~ GEORGIA OEPARTMENT OF PUBLIC HEALTH VITAI. RECOROS SERVICE Cwtodian i Na 7 --C~CE~LD ll~a~ii) (D~1) (Y~ar) ` l! K Msll J~~~ D 1'N Z 2 1~T • ? wsbiutiMt r~aid~~n o~~ sdmiu:oa? liabun a~ia ~ Rabun ~ _ Ci1~ w ew~ la 4aib LENGTH OF YM Ih O iW 1~e~) ClQ~iOn 7M ~ Ne G~3TAY l'u t?is plac.l Ci~ ~ T~w:f 2 y'I'8 • ltaM w w bd w - Rabun Co Kawrial tal so. l~ain SLtrst ' « oww, AF~tOVAL p 1~[ M Wilzda' da. 9 A tr•• o~• Q caou~noN o 2 1967 D~~- 1aM 7~ ItMty Da~ Ni~. ATI~11 (Cin er Towa) (Countp) lSt?~~: 12/16/19d1 I I Roa~ Hill C~t.e~t"~ ~ Windsr Barrvw Ga. Mwico~ ~rvo~cen o U~ ~ Licenae ko. ur rw o I sa~a I~~ Itntl~dqe Da~rid I.. !~[!s~ 1779 ~e. a~+iw aist „w~t~rq 'W~i. . ~e.wral Y - - Retirsd t3MSra1 Cot~tractar H~ac~ Coost. Miss Mortnar~ w~s ~ a~ ~c ~ . ~a ~ c,r... ...jca,r... vt:....~.. a.a. ~ Bo~t 337 Clqt,ons t}a• FA~TliE~~$~ IIIII~~ l~latloo~ip Ja~w Sa~usl Rnt1 Mrs. Yera Lo~nry Rutledgs liife --M- - S1~sis Brwn Cl~prton, Oa. CAUSE OF DFATH [F~t~. ~al~ w~ eaw ~r lia~ hr (~1. aai te).] PLG86 PMiT INiEAVAt lETVV~ ?AM 1. DEAlN WJ1s CAIJSID /Y~ ONSEi /lHD D . wrv.oL.iE CAp3L (sl ~ Aqoa~rhag~ ~ June 1~' ~ ~ ~vo3~K~,., u..,. DQE 70 (b) ~P~tswion ~ 10 yrs. ~ wmce a..~ ei« ~e~ ' aDo~• C~tti~ ca). ' <~c~tinq tM u~~~- Arteriosclezosie ~ 2 yr. :v~nq caor~ laq. DUL TO (d ..i . } PI?tT 11-~ik~r aysiic~~~ c~~diKo~~--~'liwj N d~a~Y ?w NI r~l~t 1~ 1L~ t~rmiial diNw eo~d Qi~~a m~ 1(a) ~ AUTOPSYI f Y~i ~ No 'Z ACCiDENT Q~PLACE RfNRY (~.4.. i~ ot ~W 1 K SJICtDE ?:hos~.lus.laelort. Mr~~1. ~ Whib at Work !]i I~~b~ e~~til~ tW atHad~d t4~ d~cw~d Iqrom-~- tiJMICtDe p'oltic• blda.. •tc.) ! Na Whil~ •1 Work l! N 19_61._. that 1:as! t tA~ d~c~~~~3 ' ~.C17Y OH fiOWN) (C6Ui1~Y) IST~TD~ (Me~th) (Da71 (Yw) (~wt1 ~ OT 2 l9 . •~d ~r..~ ~ IIQ~Y a~a11t ec~yn~d ~t i.. ~ro~ t!~ uusq and oa th~ d~t~ •!et~d abo~~. HOYV DID Il1j11RY O~C'UIIT - - - - - - .S1GlIA DWr•• e~ T:~i• K. J. T~rrrr, H. D. DA . 11DD ~ DA7E 81GItED flE~~~. 8~ 1~7. K~'t~ft ~IOQY CZi31LOA~ da. ~ 2~2~1967 State of Georgia ii ~ County of ~ I hereby certify Lhat the foregoing is a true and correct abstract ~ • - ~ . . a., s::o~:n :~r. a rer„~:.etit :e.:ci•d __~_~c- ~ t~~i~:..,.=, ~"t?~~~ office. J ~ € • i,' ~ ~ j ~ ~ ~ i - / ,f' : - tSi~gned ~ ~ ~ y r_ ~~1 Custodian of Vital Statistics Records ;-..i' ; ~8~L . ~ b~u~ars _ . 967 _ ~ - t. - - DsLe Iaaued ~ 8 1 ~ ~ - . , : : ; : ; ^ ~ r: FlLEO ~~.~J R~CORDED ~ ~ ADM-5•1T j. LI,+C~E CQU~:'Y. FL~. ~ ~ ~ ' ~ Ia F~i 3 : 3b 18042'7 ~ ~ ~ ~ : ' ~'~~'iZ: ~ } ; Ct.~R! •~,F:C~~rT COtlRT s ~ ~ ~ ~ _ ~ $ ~ °eaix ~ _ ~ ~ , _ ~ . . ~ _ n• ~ ~ ~ .~.~.'.~'r.,~-.~ ~:~~x ~w_.~, _ `