Participant Info

Membership Number
2815
Salutation
Mr
First Name
Daniel Dale
Middle/Maiden/Previous
Last Name
Henry
Address 1
111 Rio Vista Lane
Address 2
City
Naches
Zip Code
98937
Phone
509-658-2181
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