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Home My WebLink About0546 , ~,lu~ ` g PN'1~f _ - _ . ~ . 354289 sr-se,~6s ~ s~~e Ie cruxn fiA. : 3S42S9 ~ - - - ~ ~ tiecwt ccv+~ _ - ~ ~ 1; ~~ov~~~neo ~ GERTIFICAI'E OF DEATH st.t. x "c :~:..i~::y ~ _ RIR:t: N0. M.ititia Did. N~. ~ C'•ustodiat~'t N0. i~, ~l: ~nl~:EO~~ ( iral) - ) ) ~ ~ ~ --ostil lDq) ~ l~i~)~+ ~Tv~e Fussell ~ S. Kattman D~M 10 25 -69 ` ~3. I''sACE OF~ (Couatr) SUAL iDENC ( h~t~ •e~+s~d lir . li u.sewlioas r~~id~ae~ beto~~ adae~aioa) l~iuscogee Alabama Ruesel l ~T S~a~. Cm~ft i ~ Ci'7 ss~ te C ~1• LF1~a7H O , :n Cilri.iaib iEliC~1i OF Y~~ ~ lto O SIAY (ia Wia pSat~) Y~~ '31 tro p 521.Y (in thia p;ae~) Col~unbu4- 0-11-69 ='~O• Phenix Ci~y s. monr.hs 2:±v:i et p. er ta.6~ufws ~AYGilt OF Str~~t Add»n er S.F. ~ed Eox Nw ~?edic:~l Center 0-11-69 1800 Lak~od• Drive, Apt. 1 SLJ: 6. Al.GE . bi8 Pll. C lSl~l~ ~s toi~iQa conattT)' CO12 V1~{!1 1S, !g AFSID O FAR. 7 li. URIAl. ~ D_. T~ aEraovu o !.1 ( Cau l Aluany, Ind. I ~A Y.. p xe~j ~~~oN n 10-28-69 e. E Ti ~F B1PIH 4. A.;E ( a Yeua)'iF UIiDE6 1 Y IF UP[DEA ?A HH3. ' NAN:E O C LOCA71fiN (Ci~T or Tew~s) (Couut!) lSuf~j -~i"ts~,u'a`' ~M°''s` ~ D". I x°°`~ ( M'O' arkhill IColumbus Atusc ee GA. 5-26-14 ~ yrs. ~ ~ ~ '~"i : rEn vi : zYE.4 !~l!.k_°.7FJ Q~ll Manicd ~ Widew~d Gir~ N~ms e! Spew~ :T. EM1+AL[rlEA S1G. J; "_~.'.1-=w~.°• `-'n ~ V,`iCiOVI"cD~' .'.•1~URCED Q - ~ 2~.sH s~~.~:r.~ p ~ I Be tty Ann Kattman Charles E. Skinner ~•Y ~ ~ • 15. LtiI~AL OCCJP%lSl~:l (Gie~ idnd ai verk • 1ND O LiSWFS$ O ~~I~jIC ' ro•.~, duriao ~t o! ••otiioalil~~~a,~,ra~i ti:~d USTNY artis se~r K ta gn ompany Striffler-Hamby 1~dortuarq,Inc. 2'i :~•AS DECEFSED EY~P~~- IDtT. S. AAMED FO~ 3 SOCI S~CUHIIY N. 19. OHTiC1AN' AD RF.SS (Ye~r. ao. or ~?airnor+a' (L Sir~ ticar ar dat~s et s~r~ie~) yes ~ ~tZ1'II 56-22-3669 - 1015 13th Street, Colwnbus, Geo~gia 31902 _ !'!!TL $ - 2G. INF'OAMAN= Hvation~lnp - I~ ~ichard John Kattman Betty Ann Kattman wife ~ ,..-y~~n-s ~ua~ er . OP.~lAMI'S ADDHFSS Crace Ellen Russell henix City, Al~bama CI~liSE ~:r DLi?'H (Fsb: oclY oa~ cauw p~i Iia~ (oi (bl. ~cd (c).~ PLfJISE PB!!tI t BVAL BEiK'EEti DO I~IOT iARIrL IN T.:i: ~ Yi,Cv ^ PwRi I. DEATH K1[~ CAUSED SYt „ OtiSEi 1C2iD DLJ?!H 1. ISLM.£D1ATE CAiJSE (a) subarachno~ d hemorrhage ~~ith aneur sm about Z I'~ ~ junction h~silar and vertebral artery - C.~critioa~, i! a~T.' DUE ?O (b)~S.^ . 4 ~ wc~cn ga~~ ti[~ b , ~ ~ 5. ~ i. : .`.cr• caus~ (a). " t0 1~ 25-69 s~ :r:~q !bs und~r ~ ? r. ir? raus~ lert. DIIE TO (c) . ` ---'r/.kT Ii. Oih~r siy~cant conai~wa~ contriDutiaq fe d~ath b~t sM r~Tatid to tb~ l.rminal d:a.+w cosditioa 9iisa is P~r1 IT~) . ( ~uro~~ i - . ~ Y~ I~e ~S ~ FCCI~E:CI 'PLAG~OF i"1IU&1 (•.q.. ia er ~boet - Cii+o~e, iarm.ladon. ati~N. W~ w y~~ 2S. L~a~DY e~tti!T th~t ! ulrad~d lL~ d~c~~iec f:u~.~-~~~ ~-,6~ •,vrcr~sYtoc. ° 10-25-69 - ~ 3:Q•::C.L~ Q~eJic~ b:dq._~le.) I No1 W6ib at WerR 4 to 19_._._. llet J Irx1 ra~ ~D~ eewr~ _ (C1:Y OS 70Wl;) (C-bJ*I:Y) (STATE) I Tit+fE (?+'00~6) lD+y) (Y~u) (Hoa:) - ~=Z(~..25_69 . OF e~ 19 eed te~.: ~NPY d~atL oce~ia~`~t S=~J-~t .s., frma Ih~ uvse~ aad oa tL.. da:a ~I.twQ abo~s. -'r.~~77' DID •.tJ!'IRY OG=CU~? Z6. S1GN1~Ijl-- ~D.y~.'e ev YiU'~ ~-,n , : Louis~~A'. aznvri, M.n- ~ 7'.Y£ F~G"D B LOCAL 23, f.:G1~T .n3'$ SiGHAIUP.~ :1DD8 .y • DAZE SI4R'E=J , ~E'' , f ~ ~ /,~r n~.,, {'°3 Pox 5306 Columhus, Georp,~~a 31907 . f~. - ~z. T - • ~ . - ~ /,i).'•! 5.3 (1I-1-56) ~ J ~ L' v.'-~1e~ - ~ ~ ~~~ito[4te'~:iep +r1:n~a1 c~~: ~!-~T+•.*~3 ~ Yiul fi~co~ds S~~~ic~ i i<L . . r~.__ ~ . . - ~ . _ . . J . . . i ria is ~o csxtify 't~t:t~is~~a~~ve is a t:-ue arid correct copy oi the original + cc~ti~ic~ ~e, which`~~s'~iecoM~,a'~erpetual recoid in the arc3uves o~ ~he r,ec~r~~a il~~~rt:~en:: o~ N~lj~'4e~ouYC~s,~•~i~it- State File ~umber _ raiid ~nless co~e~rs~;ned 3+R ~~:~5~~~ Count~ Vztal it~cor~s (lzfi_ce. Fu*c~rc co~ies cz~ ;be ;~bta~ined+ in; :~e h~,:scogee County Office. • f ' f ~ ~r, - ~ ` ~ . 0 R ~ . d ~ : ` • B00~~ fACE ~ ; !''~1f~ ' . , f• ~ - _ ~ . J~~ ti . . ~ r sJ~ I.nc:sl f:ustaiian of ~~x'~all~~.q~d5 By O;fice Vit ecor. _ NOV 17 i976 ~a!1~..t:U~E~ Date Coun~y--- - - _ _ - . _ ~_~az ~ ~ . _ _ _ . . .