Birth:

9/4/1946 Glen Allen, MO

Baptismal:

SSN:

xxx-xx-xx89

Death:

1/15/1964 Southeast Hospital in Cape Girardeau, MO

Cert: B-09-208-2.pdf

Interred:

1/17/1964 Bollinger County Memorial Park Cemetery

Sex:

M

Eye Color:

Race:

Caucasian

Hair Color:

Blood Type: