Name | Ernest Conrad Provencher |
---|---|
Sex | male |
Birth Date | June 14, 1925 |
Death Date | December 27, 1983 |
Age at Death | 58 years, 6 months, 13 days old |
Birth Place | New Hampshire |
Death Place | Los Angeles County, California |
Mother's Maiden Name | Bineau |
Social Security Number | 002-18-2848 |