| Sex | Male |
| Age | 35 |
| |
| Born | 29 March 1875 | in | Paterson, Passaic County NJ (US) |
| Died | 20 November 1910 | in | Paterson, Passaic County NJ (US) |
| Buried | | in | Union Cemetery, Wyckoff, Bergen County NJ (US) |
|
| Father | Charles H. van Blarcom |
| | Born | 1845 |
| | Died | 3 February 1928 |
| Mother | Margaret Louisa Terhune |
| | Born | 1850 |
| | Died | 25 January 1920 |
| Sister | Estella born May 1870 |
|
