Lawrence Bittaker serial killer dubbed the "Toolbox Killer" and "Pliers."
 
Bittaker was sentenced to death in March 1981 while his accomplice Roy Norris received 45 years to life. Bittaker passed away on December 13, 2019.
 
Two 8 1/2" x 11" Medical Progress Note from the California Correctional Health Care Services. 
The first page is hand signed, LSB.