| 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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