| Name | Theodore Joseph Gradjelick |
|---|---|
| Sex | male |
| Birth Date | September 7, 1927 |
| Death Date | November 23, 1996 |
| Age at Death | 69 years, 2 months, 16 days old |
| Birth Place | New Jersey |
| Death Place | Ventura County, California |
| Mother's Maiden Name | Sikorg |
| Social Security Number | 148-20-0957 |