Participant Info

Membership Number
2533
Salutation
Mr
First Name
Douglas Michael
Middle/Maiden/Previous
Last Name
Clasen II
Address 1
720 Yori Ave
Address 2
City
Reno
Zip Code
89502
Phone
775-848-6526
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