PERSONAL DATA Home of Record: Jemez Pueblo, New Mexico Date of birth: Thursday, 12/12/1946 MILITARY DATA Service: Army (Regular) Grade at loss: E3 Rank: Private First Class ID No: 10836337 MOS: 76A10 Supplyman LenSvc: Less than one year Unit: C TRP, 1ST SQDN, 10TH CAV RGT, 4 INF DIV CASUALTY DATA Start Tour: Monday, 12/12/1966 Cas Date: Monday, 05/15/1967 Age at Loss: 20 Remains: Body Recovered Location: Tay Ninh, South Vietnam Type: Hostile, Died Of Wounds Reason: Multiple Fragmentation Wounds - Ground Casualty ON THE WALL Panel 20E Line 004
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