PERSONAL DATA Home of Record: Racine, Wisconsin Date of birth: Monday, 11/04/1946 MILITARY DATA Service: Navy (Regular) Grade at loss: E4 Rank: Hospital Corpsman 3rd Class ID No: 7740562 MOS: HM Hospital Corpsman LenSvc: Between 1 and 2 years Unit: H&S CO, 1ST BN, 4TH MARINES, 3RD MARDIV CASUALTY DATA Start Tour: Not recorded Cas Date: Friday, 09/16/1966 Age at Loss: 19 Remains: Body Recovered Location: Quang Tri, South Vietnam Type: Hostile, Died Reason: Gun, Small Arms Fire - Ground Casualty ON THE WALL Panel 10E Line 103
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