| Name | Roger Alan Provancher |
|---|---|
| Sex | male |
| Birth Date | July 24, 1930 |
| Death Date | July 18, 1985 |
| Age at Death | 54 years, 11 months, 24 days old |
| Birth Place | Illinois |
| Death Place | San Diego County, California |
| Mother's Maiden Name | Berryander |
| Social Security Number | 335-24-0190 |