Home of Record (official): BERKSHIRE
State (official): MD
Date of Birth: Sunday, November 16, 1947
Marital Status: Single
Branch: Marine Corps
Rank: PFC
Component: Regular
Pay grade: E2
MOS (Military Occupational Specialty code): 0311
Start of Tour: Wednesday, August 13, 1969
Date of Casualty: Wednesday, September 17, 1969
Age at time of loss: 21
Casualty type: (A1) Hostile, died
Reason: Other explosive device (Ground casualty)
Country: South VietNam
Province: Quang Tri