PERSONAL DATA Home of Record: Montclair, California Date of birth: Wednesday, 11/30/1949 MILITARY DATA Service: Army (Regular) Grade at loss: E3 Rank: Corporal (See Note below) ID No: 550803500 MOS: 11B10 Infantryman LenSvc: Less than one year Unit: B CO, 3RD BN, 21ST INFANTRY, 196 INF BDE Note: E3 at loss. Posthumous Promotion as indicated CASUALTY DATA Start Tour: Thursday, 06/12/1969 Cas Date: Friday, 11/21/1969 Age at Loss: 19 Remains: Body recovered Location: Quang Tin, South Vietnam Type: Hostile, died outright Reason: Gun or small arms fire - Ground casualty ON THE WALL Panel 16W Line 106
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