| Name | Jack Douglas Culbertson |
|---|---|
| Sex | male |
| Birth Date | May 24, 1938 |
| Death Date | April 26, 1986 |
| Age at Death | 47 years, 11 months, 2 days old |
| Birth Place | Washington |
| Death Place | Orange County, California |
| Mother's Maiden Name | Rice |
| Social Security Number | 543-40-1134 |