| Name | Charlton James Fredericksen |
|---|---|
| Sex | male |
| Birth Date | April 11, 1913 |
| Death Date | September 28, 1991 |
| Age at Death | 78 years, 5 months, 17 days old |
| Birth Place | Nebraska |
| Death Place | San Joaquin County, California |
| Mother's Maiden Name | Vestagard |
| Social Security Number | 555-14-6212 |