| Name | Basil A Provatakis |
|---|---|
| Sex | male |
| Birth Date | April 19, 1940 |
| Death Date | October 4, 1971 |
| Age at Death | 31 years, 5 months, 15 days old |
| Birth Place | New Mexico |
| Death Place | Santa Cruz County, California |
| Social Security Number | 525-82-0423 |
| Name | Basil A Provatakis |
|---|---|
| Sex | male |
| Birth Date | April 19, 1940 |
| Death Date | October 4, 1971 |
| Age at Death | 31 years, 5 months, 15 days old |
| Birth Place | New Mexico |
| Death Place | Santa Cruz County, California |
| Social Security Number | 525-82-0423 |