| Name | Jeremiah Michael Anderson |
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| Sex | male |
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| Birth Date | June 2, 1975 |
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| Death Date | December 5, 1996 |
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| Age at Death | 21 years, 6 months, 3 days old |
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| Birth Place | California |
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| Death Place | San Joaquin County, California |
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| Father's Last Name | McNally |
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| Mother's Maiden Name | Anderson |
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| Social Security Number | 573-63-3922 |
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