| Name | Kenneth Charles Burgert |
|---|---|
| Sex | male |
| Birth Date | January 5, 1910 |
| Death Date | October 28, 1996 |
| Age at Death | 86 years, 9 months, 23 days old |
| Birth Place | Kansas |
| Death Place | Placer County, California |
| Mother's Maiden Name | Heffelbower |
| Social Security Number | 510-09-6902 |