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You should be able to request a copy from the Fulton county Bureau of Vitalstatistics
http://www.fultoncountyga.gov/dhw-vital-records
Unless she was born outside of Atlanta and I have musunderstood something. Either way the county she was born in would have those records. You'll have the DoB, name, parental names and hospital so it should be a no brainer to obtain.
Thanks for help with this US citizenship malarkey.
Literally everyone I tell this story to says:
Well my wife slipped through the net somehow. Maybe someone working at the consulate in Atlanta in July 1986 was hungover and forgot to fill in the paperwork. Her birth certificate (the only one anyone has access to, including her parents, and which is currently sitting in my hands), looks to be British. It's certainly not one of the documents listed here.
Some digging has led me to believe that my wife can request her (US) birth certificate from here, although why here otherwise very well-organised parents don't have this document already is something nobody can answer.