| Name | Carl Norman Bergstrom |
|---|---|
| Sex | male |
| Birth Date | July 28, 1916 |
| Death Date | June 2, 1993 |
| Age at Death | 76 years, 10 months, 5 days old |
| Birth Place | Oregon |
| Death Place | Humboldt County, California |
| Mother's Maiden Name | Weren |
| Social Security Number | 543-01-5591 |
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