| Name | Vern Robert Mottern |
|---|---|
| Sex | male |
| Birth Date | November 16, 1930 |
| Death Date | January 27, 1995 |
| Age at Death | 64 years, 2 months, 11 days old |
| Birth Place | California |
| Death Place | Tehama County, California |
| Mother's Maiden Name | Swearingen |
| Social Security Number | 548-34-8128 |