| Name | Jay Robert Fuller |
|---|---|
| Sex | male |
| Birth Date | September 11, 1924 |
| Death Date | April 10, 1991 |
| Age at Death | 66 years, 6 months, 30 days old |
| Birth Place | Dist. Of Columbia |
| Death Place | San Diego County, California |
| Mother's Maiden Name | Koontz |
| Social Security Number | 578-36-7619 |
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