PERSONAL DATA Home of Record: Valley Stream, New York Date of birth: Wednesday, 06/18/1947 MILITARY DATA Service: Army (Selective Service) Grade at loss: E3 Rank: Private First Class ID No: 090406617 MOS: 11B10 Infantryman LenSvc: Less than one year Unit: C CO, 4TH BN, 12TH INF RGT, 199 INF BDE CASUALTY DATA Start Tour: Wednesday, 07/23/1969 Cas Date: Monday, 08/18/1969 Age at Loss: 22 Remains: Body recovered Location: Long Khanh, South Vietnam Type: Hostile, died outright Reason: Gun or small arms fire - Ground casualty ON THE WALL Panel 19W Line 064
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