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OTHER CONTRIBUTING HISTORY 0 . F :DEPRESSION AND ANXIETY <br />CONDITIONS <br />MANNER SUICIDE <br />MEDICAL CERTIFIER REBECCA WILCOXON, M.D. <br />HENNEPIN COUNTY _MEDICAL EXAMINER'S OFFICE630 CHICAGO AVE, <br />THIS RECORD HAS NOT BEEN AMENDED <br />THIS IS A TRUE AND CORRECT RECORD OF DEATH REGISTERED IN THE MINNESOTA OFFICE OF VITAL RECORDS. <br />J11" MF,&C Ceffificate ID <br />12145671 <br />I[ali l 1�1�1111 <br />FILED: SEPTEMBER 03,2019 <br />27A <br />-001498587 <br />U1, 0 <br />Molly Mulcahy Crawford <br />'051111%16, STATE REGISTRAR <br />on <br />7, <br />COUNTY SERVICE CENTER -GC <br />HENNEPIN COU <br />-n; ISSUED: SEPTEMBER 30, 20.19 <br />OFFICIAL 't IN HFN PRII%]TffD ON or L INATERMARKE <br />THIS CERT WICATE 15 VALID 0111L <br />S-iKi-[-: SEAL OF MINNESOTA. <br />a .1nr-- 12F- g SECURITY_ HASECURI <br />11 .03 ITI <br />ga-'Agit i . A <br />LN Y THREAD AND <br />-N� R <br />E <br />CERTIFICAT OF DEATH <br />STATE FILE NUMBER <br />2019 -MN -030025 <br />�yyDECEDENT <br />CLARENCE LEE COFFINDAFFER <br />LAST NAME BEFORE <br />COFFINDAFFER <br />FIRST MARRIAGE <br />ALSO.KNOWN AS <br />SOCIAL SECURITY NUMBER <br />233 -70 - 6678' <br />SEX <br />MALE <br />BORN <br />OCTOBER 08,1941 <br />PLACE OF BIRTH <br />CLARKSBURG WEST VIRGINIA <br />DATE OF DEATH <br />AUGUST 23, 2019 (DATE FOUND) <br />PLACE OF DEATH <br />ORONO HENNEPIN MINNESOTA <br />is <br />3- <br />MARITAL STATUS <br />DIVORCED (AND NOT REMARRIED) <br />SPOUSE <br />LAST NAME BEFORE <br />FIRST MARRIAGE <br />RESIDENCE <br />ORONO.. -HEMNEOIN* MINNESOTA <br />PARENT <br />BET I Y ANN HAWKINS <br />PARENT <br />WILLIAM EASTER COFFINDAFFER <br />FUNERAL HOME <br />WASHBURN-MC REAVY WELANDER. <br />DISPOSITION <br />CREMATION <br />CAUSE OF DEATH <br />IMMEDIATE <br />SHOTGUN WOUND OF THE HEAD <br />".q <br />UNDERLYING <br />OTHER CONTRIBUTING HISTORY 0 . F :DEPRESSION AND ANXIETY <br />CONDITIONS <br />MANNER SUICIDE <br />MEDICAL CERTIFIER REBECCA WILCOXON, M.D. <br />HENNEPIN COUNTY _MEDICAL EXAMINER'S OFFICE630 CHICAGO AVE, <br />THIS RECORD HAS NOT BEEN AMENDED <br />THIS IS A TRUE AND CORRECT RECORD OF DEATH REGISTERED IN THE MINNESOTA OFFICE OF VITAL RECORDS. <br />J11" MF,&C Ceffificate ID <br />12145671 <br />I[ali l 1�1�1111 <br />FILED: SEPTEMBER 03,2019 <br />27A <br />-001498587 <br />U1, 0 <br />Molly Mulcahy Crawford <br />'051111%16, STATE REGISTRAR <br />on <br />7, <br />COUNTY SERVICE CENTER -GC <br />HENNEPIN COU <br />-n; ISSUED: SEPTEMBER 30, 20.19 <br />OFFICIAL 't IN HFN PRII%]TffD ON or L INATERMARKE <br />THIS CERT WICATE 15 VALID 0111L <br />S-iKi-[-: SEAL OF MINNESOTA. <br />a .1nr-- 12F- g SECURITY_ HASECURI <br />11 .03 ITI <br />ga-'Agit i . A <br />LN Y THREAD AND <br />-N� R <br />