Death Certificate of John A. Silver
Mar. 22, 1916

death certificate of john askie silver
(click to enlarge)

State of Utah—Death Certificate

1. Place of Death
County: Salt Lake
City: Salt Lake
No. 38 ½ So. 5th East; 4 Ward

2. Full Name: John A. Silver

Personal and Statistical Particulars

3. Sex: Male

4. Color or Race: White

5. Single, Married, Widowed or Divorced: Married

6. Date of Birth: Aug. 7, 1855

7. Age: 60 yrs. 7 mos. 15 ds.

8. Occupation:
a. Machinist
b. Employer

9. Birthplace: Atlantic Ocean

10. Name of Father: William J. Silver
11. Birthplace of Father: England
12. Maiden Name of Mother: Mary Askie
13. Birthplace of Mother: England

14. Informant: Hyrum A. Silver
Address: Salt Lake

15. Filed: Mar. 24, 1916

Medical Certificate of Death

16. Date of Death: Mar. 22, 1916

17. I Hereby Certify, That I attended deceased from Mar. 17, 1916,to Mar. 22nd, 1916, that I last saw him alive on Mar. 22, 1916, and that death occurred, on the date stated above, at 11 p.m. 

The cause of death was as follows:

Uremic Leona
Chronic Nephritis
Probable Duration: 2 yrs. 3 mos. 22 ds.

Contributory: Endocarditis chornic
Duration: 3 yrs. 3 mos. 22 ds.

Signed: Chris F. Wilcox
3-23, 1916  Address: 1012 Walker Bk. Bldg.

18. Length of Residence
At place of death: 55 yrs.
In the state: 55 yrs
Where was disease contracted if not at place of death? Salt Lake City
Former or usual residence: 38 ½ So. 5th East

19. Place of Burial or Removal: City Cem.
Date of Burial: Mar. 26, 1916

20. Undertaker. Jos. G. Taylor
Address: City

Return to histories of John Askie Silver