| Name | Jack Roman |
|---|---|
| Sex | male |
| Birth Date | June 29, 1904 |
| Death Date | January 30, 1965 |
| Age at Death | 60 years, 7 months, 1 day old |
| Birth Place | Canada |
| Death Place | San Mateo County, California |
| Mother's Maiden Name | Dousett |
| Social Security Number | 561-03-4308 |
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