| Name | Edward Louis Micjan |
|---|---|
| Sex | male |
| Birth Date | April 15, 1933 |
| Death Date | November 29, 1983 |
| Age at Death | 50 years, 7 months, 14 days old |
| Birth Place | Pennsylvania |
| Death Place | Los Angeles County, California |
| Mother's Maiden Name | Lemonovich |
| Social Security Number | 195-24-1390 |