Gary Michael Heidnik an American murderer who kidnapped, tortured and raped six women who he kept as sex slaves in his basement at 3520 North Marshall Street in Philadelphia, Pennsylvania. He was convicted of killing two of the women he held captive. Heidnik was executed by the State of Pennsylvania on July 6, 1999. 

6" x 7 1/2" drawing of a hand with his index finger pointing to a sentence which reads, "YOU PISS ME OFF !!" 
Hand signed in the top right corner, Gary M. Heidnik, with his complete return address.