Participant Info

Membership Number
1227
Salutation
Mr
First Name
Charles R
Middle/Maiden/Previous
Last Name
Moore
Address 1
2804 Shirley Drive
Address 2
City
Moody
Zip Code
35004
Phone
205-640-6916
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
Name/Location of Company Worked
Dates of Work
Type of Work
Rosie Name if Rb or Rv
Is/Was Rosie a member of ARRA?
Contact Name (Deceased Rosie Contact)
Contact Email Address
Contact Phone Number