| Name | Fern Gladys Mickelsen |
|---|---|
| Sex | female |
| Birth Date | February 10, 1911 |
| Death Date | January 30, 1980 |
| Age at Death | 68 years, 11 months, 20 days old |
| Birth Place | California |
| Death Place | San Joaquin County, California |
| Father's Last Name | Bartholomew |
| Mother's Maiden Name | Cunningham |
| Social Security Number | 555-05-7495 |