Lawrence Bittaker serial killer dubbed the "Toolbox Killer.” Bittaker was sentenced to death in March 1981 while his accomplice Roy Norris received 45 years to life.

Priority inmate ducat/prison pass allowing Bittaker to go to radiology.
Dated May 11, 2019 and on the back Larry has written, Chest x-ray, and signed, LSB. 

Lawrence Bittaker Initialed Mental Health