| Name | Jeremy T Forman |
|---|---|
| Sex | male |
| Birth Date | March 19, 1971 |
| Death Date | July 20, 1971 |
| Age at Death | 4 months, 1 day old |
| Birth Place | Nevada, California |
| Death Place | San Joaquin County, California |
| Social Security Number | 000-00-000 |
| Name | Jeremy T Forman |
|---|---|
| Sex | male |
| Birth Date | March 19, 1971 |
| Death Date | July 20, 1971 |
| Age at Death | 4 months, 1 day old |
| Birth Place | Nevada, California |
| Death Place | San Joaquin County, California |
| Social Security Number | 000-00-000 |