Name | Gordon Richard Provencher |
---|---|
Sex | male |
Birth Date | October 18, 1921 |
Death Date | October 17, 1997 |
Age at Death | 75 years, 11 months, 29 days old |
Birth Place | Massachusetts |
Death Place | Placer County, California |
Mother's Maiden Name | Seppa |
Social Security Number | 021-12-6145 |