Sign out sheet signed by John Wayne Gacy, with a list of items given to his visitor.

Stapled carbon copy on the back.

John Wayne Gacy was an American serial killer and sex offender who raped, tortured, and murdered at least 33 young men and boys in Norwood Park Township, near Chicago, Illinois. He became known as the Killer Clown due to his public performances as a clown prior to the discovery of his crimes.