| Name | Jerry James Carlsen |
|---|---|
| Sex | male |
| Birth Date | July 4, 1931 |
| Death Date | September 27, 1982 |
| Age at Death | 51 years, 2 months, 23 days old |
| Birth Place | Utah |
| Death Place | Orange County, California |
| Mother's Maiden Name | Bielefeldt |
| Social Security Number | 573-38-5045 |