PERSONAL DATA Home of Record: Mantua, New Jersey Date of birth: Tuesday, 03/23/1948 MILITARY DATA Service: Navy (Regular) Grade at loss: E4 Rank: Hospital Corpsman 3rd Class ID No: 9164494 MOS: HM Hospital Corpsman LenSvc: Between 4 and 5 years Unit: B CO, 1ST BN, 5TH MARINES, 1ST MARDIV CASUALTY DATA Start Tour: Monday, 02/10/1969 Cas Date: Monday, 04/21/1969 Age at Loss: 21 Remains: Body recovered Location: Quang Nam, South Vietnam Type: Hostile, died outright Reason: Gun or small arms fire - Ground casualty ON THE WALL Panel 26W Line 019
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