WWIB0010646-A

Last Name: Bukvich

First Name: Otto

Middle Name: Sam

Serial Number: 2004514

Race: Caucasian

Branch: Army or Marines

Town or City of Residence: Gary

County of Residence: Lake

Place of Birth: Nishkish, Montenegro

Date of Birth:

Age: 30

Is this card a reverse side? (Indicated by "-B"): no