Rootwalker--Death Certificate for Pasivent Sylvester Miller 12-21-1917

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Death Certificate for Pasivent Sylvester MILLER

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Dickson, Civil Dist. 5, Village or City: (blank)
     Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 73, File No. 73
Full Name: Pasivent Sylvester MILLER
Sex: male     Race: white     Marital Status: married
Date of Birth: 1/2/1859
Age: 58 yrs. 11 mos. 19 ds.
Occupation: Retired farmer
Birthplace: Penn.
Name of Father: Augustus E. C. MILLER
Birthplace of Father: Gr.
Maiden Name of Mother: Eliza Jane GOAN
Birthplace of Mother: Iowa
Informant: Mrs. MILLER         Address: Dickson
Filed: 12/21/1917                W. J. Sugg, Registrar
Date of Death:  12/21/1917
The physician attended him from 12/14/1917 to 12/20/1917
     and last saw him alive on 12/20/1917
Death occurred at: 5? AM
Cause of Death: Pneumonia
Signed by: W. W. Walker, M. D.       Date: 12/22/1917      Address: Dickson Tenn.
Place of Burial: Dickson Cemetery      Date of Burial: 12/22/1917
Undertaker: Taylor Bros. & Davis      Address: Dickson




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