| Sex | Male |
| Age | 19 |
| |
| Born | August 1911 | in | Paterson, Passaic County NJ (US) |
| Died | 23 November 1930 | in | Newton, Sussex County NJ (US) |
| Cause | car accident | | Buried | | in | Cedar Lawn Cemetery, Paterson, Passaic County NJ (US) |
|
| Father | Frederick Ward [Fred] van Blarcom |
| | Born | 3 August 1874 |
| | Died | 12 December 1951 |
| Mother | Bertha Waldo |
| | Born | 26 August 1881 |
| | Died | 28 November 1918 |
| Sister | Catharine Daters born 6 July 1914 |
| Sister | Cynthia born 31 July 1916 |
|
