| First name: Keith |
First name: Doris |
| Middle name: M. |
Middle name: J. |
| Last name: Chase |
Last name: George |
| Age: 80 |
Age: 80 |
| Address: 17 Fairfield Avenue |
Address: 122 S 39th Street |
| Within city limits: Yes |
Within city limits: Yes |
| City: Shelton |
City: Omaha |
| State: CT |
State: NE |
| ZIP Code: 06484 |
ZIP Code: 68131 |
| County: Fairfield |
County: Douglas |
| Occupation: Retired |
Occupation: Retired |
| Birthplace: Wilbur, NE |
Birthplace: Lawrence, KS |
| Birth date: 21 July 1924 |
Birth date: 13 September 1924 |
| Father: Frank E Chase |
Father: Fred Gies |
| Father’s birth place: Michigan |
Father’s birth place: Sebowing, MI |
| Mother: Francine A Thompson |
Mother: Greta G Gorbutt |
| Mother’s birth place: Whitewater, WI |
Mother’s birth place: Brown County, KS |
| Number of marriage: Second |
Number of marriage: Second |
| Completed high school: 12 |
Completed high school: 12 |
| College: 0 |
College: 5+ |
| Marriage ended why: Death |
Marriage ended why: Death |
| Marriage end date: 01 012001 |
Marriage end date: 17 101997 |
| Race: White |
Race: White |
| Fee: 15 |
| Staff: el |
| Marriage date: 03 April 2005 |
| License ID: 479 |