| Name | Ted P Polk |
|---|---|
| Sex | male |
| Birth Date | April 11, 1953 |
| Death Date | March 30, 1969 |
| Age at Death | 15 years, 11 months, 19 days old |
| Birth Place | Kansas |
| Death Place | San Mateo County, California |
| Mother's Maiden Name | Bachelor |
| Social Security Number | 515-54-3925 |
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