Participant Info

Membership Number
2180
Salutation
Mr
First Name
Jack D
Middle/Maiden/Previous
Last Name
Parker
Address 1
4340 NW 19th St
Address 2
City
Oklahoma City
Zip Code
73107
Phone
405-947-5179
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