| Name | Bernice Theresa Provencher |
|---|---|
| Sex | female |
| Birth Date | August 24, 1924 |
| Death Date | June 6, 1990 |
| Age at Death | 65 years, 9 months, 13 days old |
| Birth Place | Minnesota |
| Death Place | Orange County, California |
| Father's Last Name | Robertson |
| Mother's Maiden Name | Johnson |
| Social Security Number | 469-20-1752 |