| Name | George Robert Fredericks |
|---|---|
| Sex | male |
| Birth Date | February 27, 1919 |
| Death Date | October 10, 1996 |
| Age at Death | 77 years, 7 months, 13 days old |
| Birth Place | New York |
| Death Place | Tehama County, California |
| Mother's Maiden Name | Shineman |
| Social Security Number | 095-20-4107 |