| Name | Roy Edward Derevyanik |
|---|---|
| Sex | male |
| Birth Date | May 28, 1936 |
| Death Date | April 29, 1986 |
| Age at Death | 49 years, 11 months, 1 day old |
| Birth Place | New York |
| Death Place | San Francisco County, California |
| Mother's Maiden Name | Zadic |
| Social Security Number | 067-30-5410 |