| Name |
Bautista Fredrick Tavares |
| Sex |
male |
| Birth Date |
January 13, 1931 |
| Death Date |
June 12, 1997 |
| Age at Death |
66 years, 4 months, 30 days old |
| Birth Place |
California |
| Death Place |
San Diego County, California |
| Mother's Maiden Name |
Fuller |
| Social Security Number |
571-38-6826 |