Home of Record (official): HEBRON
State (official): MD
Date of Birth: Wednesday, April 13, 1949
Marital Status: Single
Branch: Marine Corps
Rank: CPL
Component: Regular
Pay grade: E4
MOS (Military Occupational Specialty code): 3516
Start of Tour: Friday, June 14, 1968
Date of Casualty: Saturday, July 26, 1969
Age at time of loss: 20
Casualty type: (C2) Non-hostile, died of illness/injury
Reason: Accidental self destruction (Ground casualty)
Country: South VietNam
Province: Quang Nam