| Name | Jack Albert Wagner |
|---|---|
| Sex | male |
| Birth Date | December 9, 1936 |
| Death Date | September 26, 1988 |
| Age at Death | 51 years, 9 months, 17 days old |
| Birth Place | Utah |
| Death Place | Contra Costa County, California |
| Mother's Maiden Name | Williams |
| Social Security Number | 528-40-9939 |
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