| Name | Ernest Conrad Provencher |
|---|---|
| Sex | male |
| Birth Date | June 14, 1925 |
| Death Date | December 27, 1983 |
| Age at Death | 58 years, 6 months, 13 days old |
| Birth Place | New Hampshire |
| Death Place | Los Angeles County, California |
| Mother's Maiden Name | Bineau |
| Social Security Number | 002-18-2848 |
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