Participant Info

Membership Number
2181
Salutation
Mr
First Name
Ronald W
Middle/Maiden/Previous
Last Name
Sams
Address 1
1104 NW 33 Street
Address 2
City
Oklahoma City
Zip Code
73118
Phone
405-323-1608
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