| Name | Charles Kirkwood Busselen |
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| Sex | male |
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| Birth Date | September 6, 1933 |
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| Death Date | December 2, 1996 |
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| Age at Death | 63 years, 2 months, 26 days old |
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| Birth Place | California |
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| Death Place | Alameda County, California |
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| Mother's Maiden Name | Kirkwood |
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| Social Security Number | 559-44-6684 |
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