PERSONAL DATA Home of Record: Melrose Park, Illinois Date of birth: Saturday, 05/29/1948 MILITARY DATA Service: Army (Selective Service) Grade at loss: E3 Rank: Corporal (See Note below) ID No: 338401170 MOS: 11B10 Infantryman LenSvc: Less than one year Unit: B CO, 1ST BN, 5TH INF RGT, 25 INF DIV Note: E3 at loss. Posthumous Promotion as indicated CASUALTY DATA Start Tour: Monday, 01/05/1970 Cas Date: Wednesday, 03/11/1970 Age at Loss: 21 Remains: Body Recovered Location: Tay Ninh, South Vietnam Type: Hostile, Died Reason: Artillery, Rocket, Mortar - Ground Casualty ON THE WALL Panel 13W Line 113
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