Name: Richard Wayne Jack, age 71
Date of Birth: July 7, 1933 in Springfield, MO
Date of Death: October 27, 2004 in Lavergne, TN
Date of Funeral: October 28, 2004
Burial Site: Middle Tennessee Veterans Cemetery, Nashville, Davidson Co, TN
Parents: James and Eva Ussery Jack
Spouse: Gay Jack
Survivors: wife; daughters, Diana Jack and Monique Fournier; son, Michael Fournier; brothers, Jerry and Robert Jack; sister, Jeanne Gann; grandsons, Eric and Jared
Preceded in death: parents