Name | Eugene Addis Provence |
---|---|
Sex | male |
Birth Date | January 6, 1921 |
Death Date | August 15, 1983 |
Age at Death | 62 years, 7 months, 9 days old |
Birth Place | California |
Death Place | San Mateo County, California |
Mother's Maiden Name | Greenslade |
Social Security Number | 556-16-6933 |