| Name | Carlos Medina Evangelista |
|---|---|
| Sex | male |
| Birth Date | March 24, 1929 |
| Death Date | November 25, 1994 |
| Age at Death | 65 years, 8 months, 1 day old |
| Birth Place | Philippines |
| Death Place | San Bernardino County, California |
| Mother's Maiden Name | Medina |
| Social Security Number | 472-70-3523 |