| Father | Male John Douglas OTIS |
| Mother | Female Alice Ella STAFFORD |
| Born | 1917 | Island Pond, Essex Co., Vermont |
| Died | 2019 | Hasting-on-Hudson, New York |
| Buried | Long Island National Cem., East Farmingdale, Suffolk Co., New York |
|
| Father | Clarence Arthur STAFFORD | F50421 Group Sheet | |
| Mother | Elise Eugenie T. PICHE | F50421 Group Sheet | |
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