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Date of Birth
Date of Death 10/26/1969
Cause of Death
Age 54
Place of Birth ___ , ___
Place of Death ___ , ___
Gender Male
Spouse's Name
Father's Name __ , __
Mother's name ___ , ___
Section Name 007
Lot Number lot c
Grave Row
Grave Number
Lot Owner
Date Interred
Removed From
Marker Condition
Head Stone No
Foot Stone No
Military Marker No
Other Marker No
War Served WWII
Branch Served USAR
Unit Served
Rank Major
Notes
Inscription