| Name | Jack Edward Holtz |
|---|---|
| Sex | male |
| Birth Date | September 4, 1923 |
| Death Date | December 7, 1994 |
| Age at Death | 71 years, 3 months, 3 days old |
| Birth Place | New York |
| Death Place | Riverside County, California |
| Father's Last Name | Petryshyn |
| Mother's Maiden Name | Holtz |
| Social Security Number | 559-22-9713 |
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