Case 1:06-cv-02954-WSD Document 1 Filed 12/05/2006 Page 1 of 2

Frank L,i H i g cl,akt inl~; t a be 'Wi m:i n3istr,ato: r of Estate provided a l1 info nrr t ai:i o r k,
Robci rl: 'T'unwr re pre: scnt.i:ng; C,i l 'li g . Both knew Ifi at.1 the, address r m longer
crKi s1:ex1 , knew IAii ,- EA i1n! ;ss i f the List resiilenc:e;, purposely gave fal s i field
iiri fortnEFtti o n _

DIENI 'l1 G;E12T[]E'I(:.AL'T'l1

1R.c-Si&;ricc: a15A.; Del"b a, lb; Dcc;atur; 16 61 C, l a irmont R ced;, 3iD0-33

'I`rm, l:istk'[ a .clch-e."S'S' was solk! Much 199 7, to, Julian aC'rmv &- Associates,,
after the sEtle;, trig, sbrcxc1t number no 1onEg(m- exListelid. iCai :f'rey, diif,-d in CAN)
County at Gmv :>1:ciiw Assisted I.. :iviiril ;. n.ie; last residen.c;e; she ovvnecl was :
S 151{) S humu•cl ( .~auErt, ,-S t o ri ,DAM

Frank L,illig;, Relation;;lip„ Aci]riiniis .

Frank I,i.llii€; knew full well that th.e;re mats a~r ioitti~~ir Will fil',e,d at ]C~E,l~.ailb~
County C-bui rt:ri«us e ("mina a toe41tc> in iiepcrs it ion lc or Civil Action 0 2evC) r.3 .2-8}.
With two W ills »nde,c ;idEe.ci,, no fxm il ly :n oti:6e.ct c of ideat:h .

C~ ;ausla off)eaffi : S eqizea of Esilurt Head Trauma. No,,autopsy(fizrr:i1y

MInUU J2:zve~ d'en undE?4i auto,nsy); How' of injury: Lit~6c wri (77w Aicrmw a!id"
n 601 provide ,
Lih'i,g wit,h Jim? (~raccia!E'rry; i,0},? ;I
]
Place ; 'of l:r~jLU)r: Harn.e ;, '1345 M i ljFo . _ci Church Ro ad, lv[aarie;tta. , C: o : b b, GA
7Ad 5 gives the imprE,'.' is 1Go1Z that CL J ? i'By was GIf 1 ~o 17s 2 (fir sC)lr!E`•()7"l,e else ~ 'S ~~o rIZE
ra rul s' /tE? G fl e' Gf in Cobb C'o ic nD ~,' I

Physician did not sign the; Lk!,atl-i Certiificatel,

Upon c0niAC,#:ing; di~e NUE,, he- ins#airrnedf tll,at "IMin,da ."' :nuirse pat the lhospital
e.a11cid and iiniEc>a :ine.ci bus OffiLc;e, Of'1114-1 6-1111al . ;said that Cobb Probztte C.orant
had appointed Nfir . L,ill :ig; :P'0A, (;jf'clnja! worked girt they ~necor& room ,7t
( a2resto n e ; Fro baite (+ gurts c1c) no t appoint P0,4 's c :e-cora'ing, to 1A or,w call to
Cigbt? C.iO untyPro liaM? (:"ourty the hospital WZUr A90 "' 210 living y1?i'atives O,r
neaci"of'kin "', ; 1147s cr)'1ovvO?4'Lidlig to remove bmtvfrurn Hospital on the tivorGt
who 1N'Cy 'ks in die uj~i'7T71 e , n iYew O')"G fS ' alepty
Cv7 :s/7/7Y1 ? oYI'e
E not At L ),ip;6 t `G d . N(7

tpJa~vs;iciGrfa si,grrE>c l Me, Death "ertgicale.)

, Z3
 Case 1:06-cv-02954-WSD Document 1 Filed 12/05/2006 Page 2 of 2

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'CMS IS T ' CI C]E1 2' C]FY THAT ' T]HE AMCfti 'I; 1 S A,' f1il:J1.? REPAUD DUCT[[)N OF 790: ORIGINAL ILECOM)
0N FTILlE WITH VITAL PICCIMM ; ,i F;F~S ~iCE„ 1 ,]EI)]RiGUL RE]PM3' f1 KENT CIF 1 1liJ1NAN IM 18C/Y fR[;E-S .
flits C]E]t^,C1F~ ~'I1 CO PY IS Li5 l] ED' i3I'a ll:l[ ' T :u E A,L €'I 'E[(/RI 'I`Y EIF ' C]I 41P';C 1:13 . 3 ]C-l[I/ WI ']U1 :RECORDS,,
CODE OF 131EiIlZ GU 1. ,

JUN STATE R EG~~7'It~~t & ['~rs'~aIn~LAiN

ilil.il e I I~ ~?, n I~~'~ DD21E1".7007 2, VITAL A .E C`CIP :LiS .~k;A :~'T'T ~C,
~C,EE

DATE

(VO Il ) RVI'Y HOU T II17Cp 'A ',ES53E] ] S:EA]L GP' 1 ()12 C OPII,D}