| Name | Jerry Theodore Moore |
|---|---|
| Sex | male |
| Birth Date | August 14, 1933 |
| Death Date | September 11, 1984 |
| Age at Death | 51 years, 28 days old |
| Birth Place | Rhode Island |
| Death Place | Los Angeles County, California |
| Mother's Maiden Name | Dittmar |
| Social Security Number | 573-64-4899 |
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