PERSONAL DATA Home of Record: , The Philippines Date of birth: Monday, 09/17/1928 MILITARY DATA Service: Navy (Regular) Grade at loss: E6 Rank: Storekeeper 1st Class ID No: 586605400 MOS: SK Storekeeper LenSvc: Between 12 and 13 years Unit: 36TH RVN COASTAL GROUP (SOC TRANG), NAVAL ADV GRP, USNAVFORV CASUALTY DATA Start Tour: Friday, 12/15/1967 Cas Date: Wednesday, 10/29/1969 Age at Loss: 41 Remains: Body recovered Location: Bac Lieu, South Vietnam Type: Hostile, died outright Reason: Gun or small arms fire - Ground casualty ON THE WALL Panel 16W Line 003
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