| Name | Jan Anthony Koziellpoklewski |
|---|---|
| Sex | male |
| Birth Date | February 25, 1930 |
| Death Date | August 6, 1992 |
| Age at Death | 62 years, 5 months, 12 days old |
| Birth Place | Other Country |
| Death Place | Santa Clara County, California |
| Mother's Maiden Name | Potocka |
| Social Security Number | 510-64-1144 |