| Name | Jack Edward Eisen |
|---|---|
| Sex | male |
| Birth Date | April 22, 1925 |
| Death Date | February 20, 1996 |
| Age at Death | 70 years, 9 months, 29 days old |
| Birth Place | California |
| Death Place | Placer County, California |
| Mother's Maiden Name | Prendergast |
| Social Security Number | 556-24-6085 |