| Name | Theodore Shively |
|---|---|
| Sex | male |
| Birth Date | November 7, 1882 |
| Death Date | January 2, 1964 |
| Age at Death | 81 years, 1 month, 26 days old |
| Birth Place | Kansas |
| Death Place | Placer County, California |
| Mother's Maiden Name | Gerber |
| Social Security Number | 000-00-000 |
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