| Name | Keith Richard Carlson |
|---|---|
| Sex | male |
| Birth Date | March 30, 1955 |
| Death Date | June 4, 1996 |
| Age at Death | 41 years, 2 months, 5 days old |
| Birth Place | New York |
| Death Place | El Dorado County, California |
| Mother's Maiden Name | Richter |
| Social Security Number | 130-48-6012 |
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