Loading...
Death Certificate - Nicholson, Barbara_9/1/2009uc�cytn � 5 tUME (Fizl, µyye. InU IF OECEDEM IS FENALE. Ev, "�PE Harbara Nicholson ��E���""�"E avxurt u. � 1e. Berry W M,�CE�.v��ryfa. Bbct, Arty�. ypyy sic) . oNGw pF oEC MJ( OF (S "' Frmd� �gsz1 (I�1�N Mu. �4tE OF BIRTI (M114 OaY. Yw E�K �� �1Ce s A�erican s Dec 15, 79q3 � G}Y� T(/NN Oi LCGATQN OF DEAiH HOSPIT�L OH OiHFA WSiITUiiOry µ�µE N �w n.m... a�+ ss..�.ne i M.arietta wellstar Kennestone Hospital m. � • STATE AND COUMY pF BiqT1 GTIEN OF VMAj �p�Hiqy� Nrorn ust iuv cu.pry� Mu1RiED. xEVefi wwR�eo. � ��S Jackson GS� ���D.�'ORCFD(Spw'fy) � uorv ��. ��. Narr:ed �� �M SM SOCInL SEIXINrtY XUiuBE�i �SUFt OCCUPAiNNi (GNS ItU d wt Oax 12 �"' �0�`aMOr°'pu•,•" u�:^ u' �A �T+e=/Operator � ���y RES�OFNCE � STaTE �qJ�yry �� �� � CobS �w. F�iNER'S NMIE {y� u OC15 M11�`.OP. n. WFOPlAMTS NhME Frn Mpmq Ronald �sa BUflIK, CREiuAiqty q5PO5fSiON O�iE FEM. WK ($�xd�1i Mo. Oay. Ywf � Creaation � Feb 17, 2005 vur+Ew�. ou�croa lSN�^w.l l�i e z,i Dav±d Greiner FIAB�LMER lW��l „^ �-- Not Etabalmed --- . IIMy. PMi . .._�._..�. 1 �T° a Cholana � a» m. a.,. �,,.,,,.� y � a. a,. m. e, u e�en�a c. za. o.xEn sc.�r�curr conon r.wi P�/swre.Ya4uep�y�yy� Y = W/S OPERTTqN PE:�FORNE� n.,>M,� � � zEa sio gL�. oni C- �j u V ]' 290. NM n F 290. � N0.UE, TIj�E, A! M� � :O (M6, Wy, Y�v, Z' �� '_ rtENDING PMYSIC !^arietta ee�a.�� 3 February 16, 2009 �I �� �'K+Y UNDEq 1 YFM UNDEq 1 OAY CWNi'/ pF 65 ue'' °°Y' "o�^ �++a 'e� �� a,. Cobb IF HU$%iql pq yySi. �a OO.� OPI: Nwe«w Ib�.my/ � ER-Froa. Other Nicholson '''VAqEO'��`- 3ez albJ �Q w� oF ousrnr oa euswESs Cosr�e:ic Electrology 2. EEi M'0 NUNBEfi M�0 9P GOOE W90E CrtY W. .OS Charles :,ve puo��� 30067 No � N4b � Herrf I Oraper �e. Clark � I MPll1NG .1DDRE55 lSMi AF.O. No.. C1Y w Jmnl 5nta $1 Nicholson 105 Cha.ies Ave AEUmnvuv 19e Mariet:a, Gp 3006� Husband LEMETERY OR CflEMATOqY HAME �� LOCAiION (f1y a ioxn, SNN. Zq. Lovyy� p� GemationSxieryoltheSOUTH � Harietta, GA 30067 Cobb NN. O�R I10El:$E NO, NPME ANO PDOPE55 OF F�qlliY (SLSBi AFO NE.. GIl' a TewM1 Sa;e, I9f EST. IJCE.VSE NO. �oo3ni CremationSocietylSOUTH ��� CREM000020 emanu�eA ucws� r�o. 595 F�anklin ROad SE zu. z,,: -- x/A --- i,_ Marietta, Georgia 30067 - O�t9t JFVWRT plm�e. � a.anw u m� m. �F..� IP OF OfATH 1i:90 2M b feuSe �ive� bi Pyt IA 4VTOPSY (`Y\O o/k -��/—_ � 'iV � � wnulilONS fOfi NtYGH OPFfUiWN WA5 PEFU I za. �ESCWOE HOW 4Ulqy pCCUqqEp 28E. e. lOGiION (SbeeG AF.D. Na. pIY n Tw.*l SLre. '�o , � �w � DAiE Slf UO � � � arn. � E O O�iE PRi 3JC. ON V / � (M0. ---- ----..._ _,�.m a.,.,.ro �.�, i �m,.V �,.,.d a....� �,.�.� �� I>oaa:vn:�e nu�.�n ee�.wn wue� w e.am � `CcRTIFICATE OF R.ECORD" THIS IS AN.E�.,1�T COPY GE THE DEATH CERTIFICATE RECEIVED FOR FILI� 1G IN _?QB rQUIvTY, ' ORGI.A. . �- � , �( ✓L� . � . ' L<J�AL CUS'I'OD ' - ` ` ='�Q'�'. 12 ;J��a" . DA7'L � (SEAi,1 - �L a