Home of Record (official): BALTIMORE
State (official): MD
Date of Birth: Tuesday, November 27, 1945
Marital Status: Single
Branch: Marine Corps
Rank: PVT
Component: Selective Service
Pay grade: E1
MOS (Military Occupational Specialty code): 0811
Start of Tour: Unknown/Not reported
Date of Casualty: Wednesday, December 28, 1966
Age at time of loss: 21
Casualty type: (A1) Hostile, died
Reason: Other explosive device (Ground casualty)
Country: South VietNam
Province: Quang Tri