| Name | Jackie Lee Fullerton |
|---|---|
| Sex | male |
| Birth Date | December 10, 1933 |
| Death Date | May 10, 1996 |
| Age at Death | 62 years, 5 months old |
| Birth Place | Missouri |
| Death Place | Ventura County, California |
| Mother's Maiden Name | Hill |
| Social Security Number | 567-38-7620 |
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