| Name |
Capatolia Madeline Provost |
| Sex |
female |
| Birth Date |
August 18, 1909 |
| Death Date |
November 5, 1980 |
| Age at Death |
71 years, 2 months, 18 days old |
| Birth Place |
Nebraska |
| Death Place |
Los Angeles County, California |
| Father's Last Name |
Brooks |
| Mother's Maiden Name |
Russell |
| Social Security Number |
507-09-7804 |