| Name | Jack Irving Gallisdorfer |
|---|---|
| Sex | male |
| Birth Date | July 3, 1927 |
| Death Date | December 16, 1996 |
| Age at Death | 69 years, 5 months, 13 days old |
| Birth Place | California |
| Death Place | Sacramento County, California |
| Mother's Maiden Name | Lazarus |
| Social Security Number | 551-36-6536 |