(01/21/1969 - 01/22/1969)
|Last Known Residence:||Unknown|
|Date of Birth:||01/21/1969|
|Location of Birth:||Unknown|
|Date of Death:||01/22/1969|
|Age at Death:||0 years|
|Location of Death:||Unknown|
|Funeral Director:||Northland Funeral Home|
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