Name | John W Ballentine |
---|---|
Sex | male |
Birth Date | October 6, 1966 |
Death Date | December 19, 1966 |
Age at Death | 2 months, 13 days old |
Birth Place | California |
Death Place | Los Angeles County, California |
Mother's Maiden Name | Ramirez |
Social Security Number | 000-00-000 |