| Name | Sam Provus |
|---|---|
| Sex | male |
| Birth Date | February 22, 1914 |
| Death Date | November 14, 1974 |
| Age at Death | 60 years, 8 months, 23 days old |
| Birth Place | Illinois |
| Death Place | San Diego County, California |
| Social Security Number | 340-10-7245 |
| Name | Sam Provus |
|---|---|
| Sex | male |
| Birth Date | February 22, 1914 |
| Death Date | November 14, 1974 |
| Age at Death | 60 years, 8 months, 23 days old |
| Birth Place | Illinois |
| Death Place | San Diego County, California |
| Social Security Number | 340-10-7245 |