The youth wrestled Gacy to the floor, obtained possession of the handcuff key and cuffed Gacy's hands behind his back. In , he was named "outstanding vice-president" of the Waterloo Jaycees.
Gacy was deeply involved in many of these activities and regularly cheated on his wife with local prostitutes. Over the following months, several other youths were sexually abused in a similar manner, including one whom Gacy encouraged to have sex with his own wife before blackmailing the youth into performing oral sex upon him.
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Gacy celebrated Voorhees to his location with the intention of showing photi side details. Voorhees Sr. Gacy so admitted to optimistic "sat on the kid's tell for a while"  before finishing him.
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He was occasionally hospitalized because of these seizures, and also in for a burst appendix.
On one occasion in , Gacy bought an extra set of keys after his father confiscated the original set.
After this incident, Cram moved out of Gacy's home and subsequently left PDM Contractors, although he did periodically work for Gacy over the following two years.
One month later, on March 2, the Gacys' divorce—decreed upon the false grounds of Gacy's infidelity with women  —was finalized. Despite initially denying any involvement, he soon confessed to having assaulted Voorhees, indicating that he had done so at Gacy's request. In July , Gacy arrived at the youth's home while the youth was alone, having injured his foot at work the day prior.
Gacy conned the youth into allowing his wrists to be cuffed behind his back, at which point Gacy strangled him to death and buried his body under the concrete floor of his garage.