PERSONAL DATA Home of Record: Chicago, Illinois Date of birth: Tuesday, 11/21/1944 MILITARY DATA Service: Army (Selective Service) Grade at loss: E3 Rank: Private First Class ID No: 55835876 MOS: 11B10 Infantryman LenSvc: Between 1 and 2 years Unit: 3RD PLT, C CO, 4TH BN, 31ST INFANTRY, 196 INF BDE CASUALTY DATA Start Tour: Friday, 07/15/1966 Change Status: Sunday, 11/13/1966 Missing to Died while Missing Age at Loss: 21 Remains: Body recovered Location: Tay Ninh, South Vietnam Type: Hostile, died while missing Reason: Gun or small arms fire - Ground casualty ON THE WALL Panel 12E Line 068
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