Participant Info

Membership Number
2054
Salutation
Mr
First Name
Myron W
Middle/Maiden/Previous
Last Name
House
Address 1
PO Box 191
Address 2
City
Waco
Zip Code
30182
Phone
770-258-3009
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