Participant Info

Membership Number
3186
Salutation
First Name
Earl Duane
Middle/Maiden/Previous
Last Name
Miracle
Address 1
10193 E County Rd 275 N PO Box 207
Address 2
City
Seymour
Zip Code
47274
Phone
812-523-6536
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