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Death Certificate - Carver, Ottie Mae_11/26/1984.._--, � CEN`oPiCATW OF UEATIUSTUiE Of GEOnGU � , ^^�•e^ iOttie Mae . e. ..�....�..... "�."....� .�� ���� ••°•.«^�• "^' /� Americac�/6 . May 8� 1905 77 Yhite 1' S88 . - � S� �982 1 .. w.am.,. i.uo�o,.i.�u.�rv.a+wnE u,�.....r......�..n.., a..�°,nie'.,w.. j' �Douglas Coffee Ceneral Hoapital y 0� � In}atient�/ . n.,�o•iaa.".�.u...� munw...xcw+r..r.u.��o:o::o�cieuu:no. �N�....�.��..r�.�..-.�.... � ~ Ceorgia ,,, U. S. A. „ Married , James Alvin Carver ""�rNo uuw�inw.v uors���ro.rc....rre.....�...,�. .r.........�w� . o.��ar�.en�w.�a ti;,� � ,� Honemkar � ,,, Docestic a-�r.n ,/ ... .rw4.is..s n.�n...m.urin �.voi�n �y u... GeoraiA/ ... Coffee �.3 �... DouaSlae �C% ,..307 Sonth Colle e Av � Ye Mr. Jamea Alvin Carvar ,� 3�/ _o.,. ... ,sWBisial �A* . 17 19 2�F„He�on Cem _ . ._� � I:�,�..t� . - ,.. . ...�..s.�.o. . i� ' Zlj4 i ; u..._�� ., J� / vr.y o tca�A�i .su � (.' �"�..��..- o..�.. .c /iC�c�!- i � ;�- L,,,� 4 �cvone.�w n��� ?„ ; ; � G ' r.i., m.w.w..-�r.. —...� � m,......�.......�...�. ,w.P«.�."'�'wi`" .�m�or w��woe...virn....+ .,._�, a: w�°N o _ .. ;�; ,� •'oFxN�•Annie Bell lege Ave.�•Douglas, Ca. �o.....�:.....:.. m�,. � I,,,'aillacoochee, Ca� w..�r�n m..... rs. +� c. .. r..... a» Aicketeon F1u�e:e1 Hone 305 West Mard Street Douglae, Ceorgia 31533 y/D..,.:y � � ,�._..� is�9-,- �-5� � ��-- .�.�. . �- yo,. .. :,:��...., o • ,y . xes:� �.: yCS ...c.an..i o..Eers.ni d '.—M . ,- No I`e"..," IM ' _.__.. �,_� .._.._ d__._a _�__.�..__ " �:-�, '° a .-- :...._�.... . *.; ► . �ja ► , :. ...p.�o,... .._, a,o.�.� �ca o.. ,.>�.._a....., la.o.o..,„ , ;.� g , � . ,�: ,. 5:45 r. ,Ye ...�.��oo. t F .�...ew.ne .a ..na..�nn...a.n.n.� � w.n.e.anemouo�r.o....�� m��u .. �mw �.� . a �r ... .oinuo.cuv.ne .,.rdr..�.. oe.n o+mi u.�. ..o....c..r�..m�..r.r Y - FUG Y 3 1?�2 '•.. �lliAt lnl� �,• � � s � 3/`S3� s.--:� ° • �� �t�AUG 1 9 1982 �.. ,.. ���':�,. ���...��,,,,�.w..,��«.�:��., A.�.�,v,�KE �,�.,ae,.�,<,..,,K... 'Ihis is to certify that thts is a tzue and correct copy� of the certificate filed with the Vital Records Service, Georgia Depar�nmt of Htm�► Resrnsces. This certified copy is issued imder the authority of Chapter 31-10, Vital�Fecords Code , of ��� R � �ty ����, � ��� State Vital Records Re straz Issued b �,� , q ,n �- b'� Y /' . �/J�h��.�� ,(1/in:-�`1 and Gl�stodi�, Mrector, %' . � - Vital Records Service Date: � �%i,c.(J �/��.��P.�;; (I oi wt o glna s��ilse �d inQressed seal.) - a . rvu� ol