| Name |
Concepcion Fernandez Provencio |
| Sex |
female |
| Birth Date |
December 8, 1910 |
| Death Date |
March 3, 1985 |
| Age at Death |
74 years, 2 months, 23 days old |
| Birth Place |
Mexico |
| Death Place |
Los Angeles County, California |
| Father's Last Name |
Fernandez |
| Mother's Maiden Name |
Segura |
| Social Security Number |
548-30-4475 |