Lawrence Bittaker serial killer dubbed the "Murder Mack" and "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