| Name | David Henry Provencher |
|---|---|
| Sex | male |
| Birth Date | October 7, 1929 |
| Death Date | April 27, 1995 |
| Age at Death | 65 years, 6 months, 20 days old |
| Birth Place | Connecticut |
| Death Place | San Bernardino County, California |
| Mother's Maiden Name | Barow |
| Social Security Number | 572-32-5049 |