| Name | Leetha Burnett Separovich |
|---|---|
| Sex | female |
| Birth Date | April 4, 1903 |
| Death Date | August 21, 1990 |
| Age at Death | 87 years, 4 months, 17 days old |
| Birth Place | Arkansas |
| Death Place | Shasta County, California |
| Father's Last Name | Burnett |
| Mother's Maiden Name | Striplin |
| Social Security Number | 541-30-7029 |