| Name | Perry Everett Shivertaker |
|---|---|
| Sex | male |
| Birth Date | December 25, 1888 |
| Death Date | September 3, 1958 |
| Age at Death | 69 years, 8 months, 9 days old |
| Birth Place | West Virginia |
| Death Place | Los Angeles County, California |
| Father's Last Name | Shivertaker |
| Mother's Maiden Name | Wilkinson |
| Social Security Number | 235-03-8611 |