Name | Jeremy T Forman |
---|---|
Sex | male |
Birth Date | March 19, 1971 |
Death Date | July 20, 1971 |
Age at Death | 4 months, 1 day old |
Birth Place | Nevada, California |
Death Place | San Joaquin County, California |
Social Security Number | 000-00-000 |
Name | Jeremy T Forman |
---|---|
Sex | male |
Birth Date | March 19, 1971 |
Death Date | July 20, 1971 |
Age at Death | 4 months, 1 day old |
Birth Place | Nevada, California |
Death Place | San Joaquin County, California |
Social Security Number | 000-00-000 |