| Name | Kermit Carlisle Clum |
|---|---|
| Sex | male |
| Birth Date | September 18, 1927 |
| Death Date | January 2, 1995 |
| Age at Death | 67 years, 3 months, 14 days old |
| Birth Place | Ohio |
| Death Place | Shasta County, California |
| Mother's Maiden Name | Templeton |
| Social Security Number | 281-20-1205 |
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