PERSONAL DATA Home of Record: Atascadero, California Date of birth: Sunday, 04/06/1947 MILITARY DATA Service: Army (Selective Service) Grade at loss: E3 Rank: Private First Class ID No: 56690703 MOS: 11H10 Infantry Direct Fire Crewman LenSvc: Less than one year Unit: A CO, 1ST BN, 16TH INF RGT, 1 INF DIV CASUALTY DATA Start Tour: Wednesday, 02/08/1967 Cas Date: Saturday, 06/17/1967 Age at Loss: 20 Remains: Body recovered Location: Phuoc Long, South Vietnam Type: Hostile, died outright Reason: Multiple fragmentation wounds - Ground casualty ON THE WALL Panel 21E Line 123
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