Participant Info

Membership Number
1438
Salutation
Mr
First Name
Ben
Middle/Maiden/Previous
Last Name
Rue
Address 1
Box 2727
Address 2
City
Jackson
Zip Code
83001
Phone
307-733-6583
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