| Name | Glen Roland Carlson |
|---|---|
| Sex | male |
| Birth Date | November 28, 1928 |
| Death Date | August 25, 1994 |
| Age at Death | 65 years, 8 months, 28 days old |
| Birth Place | California |
| Death Place | Santa Clara County, California |
| Mother's Maiden Name | Hendrickson |
| Social Security Number | 548-32-5840 |