PERSONAL DATA
  Home of Record: New York, New York
  Date of birth:  Saturday, 07/10/1948

MILITARY DATA
  Service:        Army  (Regular)
  Grade at loss:  E4
  Rank:           Specialist Four
  ID No:          127360645
  MOS:            91D20 Operating Room Specialist
  LenSvc:         Between 1 and 2 years
  Unit:           67TH EVAC HOSPITAL (QUI NHON), 44TH MED BDE, USARV

CASUALTY DATA
  Start Tour:     Monday, 03/03/1969
  Cas Date:       Tuesday, 10/14/1969
  Age at Loss:    21
  Remains:        Body Recovered
  Location:       Province not reported, South Vietnam
  Type:           Non-hostile, Died Of Illness/injury
  Reason:         Other causes - Ground Casualty

ON THE WALL       Panel 17W Line 079