Last Name: BLACK
Birth Date: Dec 19, 1938
SSN: 480-40-9486
Residence Location: Keosauqua, Iowa, 52565
Payment Location: KEOSAUQUA, Iowa, 52565 |
First Name: STANLEY J
Death Date: Oct 30, 2004
State Issued: IA
Residence County: Van Buren
Payment County: VAN BUREN |