Name | Laverne Lynn Forman |
---|---|
Sex | male |
Birth Date | April 17, 1910 |
Death Date | March 4, 1991 |
Age at Death | 80 years, 10 months, 15 days old |
Birth Place | Iowa |
Death Place | San Mateo County, California |
Father's Last Name | Washington |
Mother's Maiden Name | Wiseman |
Social Security Number | 563-12-1226 |