PERSONAL DATA
  Home of Record: Glendale, California
  Date of birth:  Sunday, 05/09/1943

MILITARY DATA
  Service:        Army  (Selective Service)
  Grade at loss:  E3
  Rank:           Private First Class
  ID No:          567566666
  MOS:            11B10 Infantryman
  LenSvc:         Between 1 and 2 years
  Unit:           A CO, 4TH BN, 3RD INFANTRY, 11 INF BDE

CASUALTY DATA
  Start Tour:     Sunday, 01/12/1969
  Cas Date:       Sunday, 09/21/1969
  Age at Loss:    26
  Remains:        Body recovered
  Location:       Quang Ngai, South Vietnam
  Type:           Hostile, died outright
  Reason:         Multiple fragmentation wounds - Ground casualty

ON THE WALL       Panel 18W Line 119