| Name | Daniel Michal Petrgalovic |
|---|---|
| Sex | male |
| Birth Date | September 20, 1997 |
| Death Date | December 29, 1997 |
| Age at Death | 3 months, 9 days old |
| Birth Place | California |
| Death Place | San Bernardino County, California |
| Mother's Maiden Name | Brogaard |
| Social Security Number | 606-02-8687 |