Rank First Last Name

Brick location number

IF NO BRICK, DELETE BRICK TITLE

Branch of service

x

Dates of service

x

Location(s) of service and/or conflicts

x

Medals earned

x

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Reflections on this veteran's military service

Submitted by Submitter Name

Text from "reflections" goes here.

Text from "what is the veteran's connection to Lakewood?" goes here -- in italics.