| Name | Jerry Simon Duivenvoorden |
|---|---|
| Sex | male |
| Birth Date | June 19, 1926 |
| Death Date | November 7, 1992 |
| Age at Death | 66 years, 4 months, 19 days old |
| Birth Place | Other Country |
| Death Place | Shasta County, California |
| Mother's Maiden Name | Verdegaal |
| Social Security Number | 564-46-7495 |