| Name | Theodore Eugene Pozniakoff |
|---|---|
| Sex | male |
| Birth Date | April 13, 1927 |
| Death Date | January 9, 1991 |
| Age at Death | 63 years, 8 months, 27 days old |
| Birth Place | California |
| Death Place | Sonoma County, California |
| Mother's Maiden Name | Johnson |
| Social Security Number | 547-38-9750 |