Participant Info

Membership Number
2938
Salutation
Mr
First Name
Herman John
Middle/Maiden/Previous
Last Name
Johansen
Address 1
4426 Jarboe Street Apt 3
Address 2
City
Kansas City
Zip Code
64111
Phone
816-360-8628
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