| Name | Burtis Alvin Ford |
|---|---|
| Sex | male |
| Birth Date | January 10, 1922 |
| Death Date | December 4, 1996 |
| Age at Death | 74 years, 10 months, 24 days old |
| Birth Place | Kansas |
| Death Place | Mendocino County, California |
| Mother's Maiden Name | Hogue |
| Social Security Number | 429-32-5215 |
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