Leonard B. Stern, Creator of Mad Libs, Dies at 88

Leonard B. Stern, creator of Mad Libs, died in his ____________  ____________  on  __________________.  
                                                                                       (adj.)                (noun)                   (day of the week)  
 
He was _________ years old.
              (number)
 

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http://www.nytimes.com/2011/06/10/arts/television/leonard-b-stern-creator-of-mad-libs-dies-at-88.html