Billy L. Chadd a reclusive rapist and serial killer known as "The Death Merchant". Sentenced to death in 1979, he was later re-sentenced to life in prison.

8 1/2" x 11" medical approval dated 11/09/05 for Chadd's use of a walking cane. 
Hand signed and dated on the back, Billy L. Chadd 11/13/06.