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~ 2~~ Geotgia Deputment of Human Resources ~ ~ H/~
Vital Record~ Unit 0! 8 T I 8 ~
CERTIFICATE OF DEATH St.t. Fu. :te • :
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DECEASf~ ~~tp ~
~:,o...r.~~ Clifton ~ Mftch
~ESIDElIC ( be~ ~u~ B~ taNtr4~s ~.rd ~d~iri~ '
. PLAGE D ( ~ut!) ~/~J r t
DeKalb O /1~{ r' s~,~• Georqia c•..~r ~c~~u '
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Acianta ~ 2 c3a s life t
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Emory Universit Hos ital 9 da s Route #3 ~
. s es e. ~u? . sutt~t tsw• •:v ~•y~l1 CovNTatR ~ u• tn ~ ~rswvnt O D i
F.~ ~'1~1 I Geor ia i USA Y"~ "'a ( c~Q+nnor o June 24 19y5 '
. RATE OF ll~ AG ( T~~~) IF UNDti 1 Y Ir U11D~ C L AZ10 ( ? N 1~w~) I t) 1~v~1 {
lul birli~a! - 11Ntlr Da~
'7-26-1908 I 66 I ~ Bold S rin s onroe Walton Ga.
I. MAAAtED ill ;1AllilED ~s 1N1d~w~d w ~r• ~J~1~~lU1 • EJ~iSE 11 . :
'~,1tIDOWtD ? DIYOItCED Q {
SET7QA~o ( J. E. Mitchell ~tr~iv.c~-I~.. l5( 2048 1
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don~ d~ri~~ aNl d wkkiN 41~. Na f! tNir~) DUS~T
Seamstress Garment 'Arthur Bowick Inc. Funeral Directors
' WAS DLCE wu~ a s r. ~ ancun• ~?ca t
f~ a. as. sr rafwwr~ (l! 7w l~~~ w~r ~r ~iw d Nrvie~) ~
No ~ 260-26-3538 823 E. S rin Street Monroe Geor ia
i.-rAmca•s ~
Earl Al1 ood Mr. J. E.'Mitchell Husband ~
E. MOTHF.t'S . /tfFO ADD
E~nma McElhannon Monroe Geor ia ~
L CAi15E OF DEAi11 (C~Nr NlY ~s~ e~dw ~!"is~ ~r ~a). (i). as1(e).] tLFJ1SE T1lML IN 11VAL lETW~II N W~IiE 1N TIlIS ~ ~
PA9i 1. DLA111 WAS CAUSED ~Yt 1 ( ONSET AItD DG7H L
IMMF~UITE CAVSt ~ `4 3~ i~ r n.P- y ~ ~
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'onc~itioe~, il a~~ Dil~ TO -
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-PAAT U. 011~~t~~~w1 s~ ewlri~rtip N rt w1 r~~ _ 1~ 1~rwd di~~u~ ce~dilien qi~~~ n r~A 1~) 2~. ApTOPSYT
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ACCIDENT Q) C 1!1 ~~-f» ~ ~ a'~O
wW. a w.rt p is. I a.r t•n..d.A ~1. d.c.u.d ?
SUICtDE M~~. ~M• ^
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~}iOMICroE O d6e~ MaO.. Ne.I NN Wiib al WKti I!~l~.. N L~ 1!~ Ifaf 1 Ias1 A~c~u~~ ~
~lTY Os i3-ii) l~iiN~(31A ) I l~!) l w1 l ) J w,,wa.r 'L-2 ~ ;
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WIU~Y I~alf ~ccrn~i ~ /re~ IL~ c~ra~~ u~ e~ IM d~~~ ~b~~ abN~.
~ NvW DID INI11~ C~t IU C r~~ _
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DATE REC'D i LOC I ' 1GN AD DA CNE~- ~
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AEG. , ~ ~ ~ . ' ~ ~ s
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A5,5,-~ JUL 2 1975
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~ Decatur, , DeKalb-,----Geargia ~
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~ This is ~ 1 ~t~ =,b;Qve is a true and correct copy of the certificate
that is ~~o~ds Unit, DeKalb County, Decatur, Georgia.
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Dfrecta~G~;~~~t ~ ' lth Department Local Custodian, Vital Records Unit + ~
Local ~ ~ nty, Georgia 3
~~~eKalb County, Georgis ;
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~t'~~J/. ~'~?~1 t~EO AMO RECORDEO SEP 1O ~9
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ROCER PO~TAAS ate issued ~
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BOOK ~7O PACE 8
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