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Alta Myrah “Elmira” <I>Clouse</I> Milligan

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Alta Myrah “Elmira” Clouse Milligan

Birth
Cumberland County, Tennessee, USA
Death
6 Jan 1924 (aged 74)
Burial
Pleasant Hill, Cumberland County, Tennessee, USA Add to Map
Memorial ID
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STATE OF TENNESSEE
STATE BOARD OF HEALTH
Bureau of Vital Statistics
CERTIFICATE OF DEATH

1. Place of Death: Tennessee
County: Cumberland
Civil Dist.: 1
Registration District No. _______
File No. 342
Village or city: Ravenscroft #1
Primary Registration District no. 4
Registered No.______
City: _________________

2. Full Name: MIRAH MILLICAN
3. Sex: Female
4. Color or Race: White
5. Single, married, widowed, or divorced: Widow
6. Date of Birth: ___________
7. Age: About 73 years
8. Occupation: Housework
Occ. Farm
9. Birthplace: Tennessee
10. Name of Father: BENJAMIN CLOUSE
11. Birthplace of Father: Tennessee
12. Maiden name of Mother: SUSAN SUTTLE
13. Birhtplace of Mother: Tennessee
14. The above is true to the best of my knowledge
Informant: W.J. TREADWAY
Address: Ravenscroft #1
15. Filed: Nov 3 1924 Ira Presley, Registrar
16. Date of Death: Jany 6 1924
17. I hereby certify that I attended deceased from _____ to ______,
that I last saw him alive on _____, and that the death occurred on
the date stated above, at 6 pm
The cause of death was as follows: no doctor - Dropsy and old age
18. Length of Residence (for hospitals, institutions, transients, or
recent residents): _______
19. Place of Burial or removal: Smith Chapel Cemetery
Date of Burial: 1/7, 1924
20. Undertaker: HB Hunter
Address: Sparta Tenn
















STATE OF TENNESSEE
STATE BOARD OF HEALTH
Bureau of Vital Statistics
CERTIFICATE OF DEATH

1. Place of Death: Tennessee
County: Cumberland
Civil Dist.: 1
Registration District No. _______
File No. 342
Village or city: Ravenscroft #1
Primary Registration District no. 4
Registered No.______
City: _________________

2. Full Name: MIRAH MILLICAN
3. Sex: Female
4. Color or Race: White
5. Single, married, widowed, or divorced: Widow
6. Date of Birth: ___________
7. Age: About 73 years
8. Occupation: Housework
Occ. Farm
9. Birthplace: Tennessee
10. Name of Father: BENJAMIN CLOUSE
11. Birthplace of Father: Tennessee
12. Maiden name of Mother: SUSAN SUTTLE
13. Birhtplace of Mother: Tennessee
14. The above is true to the best of my knowledge
Informant: W.J. TREADWAY
Address: Ravenscroft #1
15. Filed: Nov 3 1924 Ira Presley, Registrar
16. Date of Death: Jany 6 1924
17. I hereby certify that I attended deceased from _____ to ______,
that I last saw him alive on _____, and that the death occurred on
the date stated above, at 6 pm
The cause of death was as follows: no doctor - Dropsy and old age
18. Length of Residence (for hospitals, institutions, transients, or
recent residents): _______
19. Place of Burial or removal: Smith Chapel Cemetery
Date of Burial: 1/7, 1924
20. Undertaker: HB Hunter
Address: Sparta Tenn
















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