Home of Record (official): QUANTICO
State (official): MD
Date of Birth: Tuesday, January 11, 1949
Marital Status: Single
Branch: Marine Corps
Rank: PFC
Component: Selective Service
Pay grade: E2
MOS (Military Occupational Specialty code): 0311
Start of Tour: Tuesday, July 29, 1969
Date of Casualty: Wednesday, September 10, 1969
Age at time of loss: 20
Casualty type: (A1) Hostile, died
Reason: Other explosive device (Ground casualty)
Country: South VietNam
Province: Quang Tri