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CERTIFICATE OF DEATH STATE Of GEORGIA N.~„•, N.-.ne• N..•wtwr
DI~ tJ1 N! S AAMi fra lMt E6 DATE Of DE AIN rEb U+. w
Gordon G. CREAMER ~'lale _ ctober 11, 197
. a. • OR PACE w°. h-.• n'~~ "'rr- .rc --TORrGIA Of OECEOE NI :14 ~v W• {OAT! O+ Warr. M_ Ue •o• AGE tel•.~•eslt UNDER E rE ARO uNOEa [DAY [OUNIr Of OLA)I.
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CI7r~lOWAo•EOCATION Of DEATN ~DS?IIAt UN UI»fR INST1TUlION NAME rr ti+: +.•u-^•+••O ti•-- If N0911 Al OR INSI guy ur•DUw Ol t4iF N+
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` . Columbus ~w Doctors Hospital npa_ lent
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STATfOEENRTN rCIIREN Of IIMIAT COONTRr• MAaRIED. NE VEa MAaR1Ep TS?UIKE+^~~••~•vo~.•~.~•••o t••~++•+°~'•+''•~N~t^ KAS bECTGi N1 fVCR IN
_ r N~.e.KO ru ner •n uSw wr.v Cwwlq/ 1 IDOMIE O. DIVORCED 'bw~•r + v`•r S AaMEO FORCES
•~••••-a Canada Married Hilda Roos No
;~.N .rD..L• 14 _ _ Toe USA _ _ jn.,~ _ - _ - -
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r 2?4-16-6593 _ S__ales C1Erk Retail Sales
_ RCaIOE NCE - fTATE COONTf ~ ~ Ivy. iO1RN or IOCAiION St REE 1 ANO Nl/WER INSIDE C1TV l WITS'
,,.Georgia lE. Muscogee ,k. Columbus 2224 Camelot Pl . Yes
ATMER'S NAME .nt Ma/Ir l.N MOWER"S MAIDEN NAME f•nt M'Awl. lht
~ Edward J. Creamer ,f Harriet Defoe
IN?WtMAN11 hAME •Mat M•eM• ' Li:.:::r.:.:waAE« i::. cr:. P - ~ ~ SU3. REEATION4/M
=>s•." Hilda R. Creamer 2224 Camelot ~P1.+ Cola Ga. 31904 Wife
URIAI. CREMA 1 J DIS?OS1110N GATE CEMETERY OR CREMA' ORr NAM[ LOCATION If.•q e• 7or••. Sr+rr_ l.o. Ca•wrrr
REMOVAL ISe•r• I 16IO.. Orr. ru•r
~Remova~ ,~ct.12,1979 Spring Hill ~ Huntington,W.Va.Cdt~~Q4
FUNERAL SERVKE E.j E CSI At UCf NSE NO- NAME AND ADDRESS Of fACII ITr ryI•arr R!O No.. C•n .••Torn Sr+u. le
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~ ~ „s 698___ Striffler-Hamby Mortuary, Inc.
EMlAL MER 1 [6MAl MfR LICE NSF NO P ~ 0 ~ BOX 1131
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2574 Columbus, Georgia 31902
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a_2 DAtE SIGN fE,o. Drl. rrv HOUR Of DEATN EWG DATE SIGNED ~Ek•. On-•r+•: INOUR Oi DEATN
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n~ NAMt Of ATTENDING ?NVSIC1AN li OTHER tNAN CERTIFIER DATE ?RONOUNCED DEAD!Wc. Ga. r•r INOUR ~RONOVNCEOOE AD
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l aE G•STRAR • / DATE RECEIVEO.r IS o Go •
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:i>is is an exact copy of the ,death certificate, as filed in ~lt1S000EE County.
local Custodian a 0 five of .Local Custodian
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c::!;;tiTY MUSCOGEL- UATL : 1~
_464909
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F:LLC t1U ~t C~nl
ST.IUGE C~'i~41 Y. ~ L A.
ROG~F2 PUITRAS
rLERK C: GU:T C0~'•'•T
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