Participant Info

Membership Number
3379
Salutation
First Name
Thomas R
Middle/Maiden/Previous
Last Name
Lundmark
Address 1
406 Walnut Street
Address 2
City
Grand Forks
Zip Code
58201
Phone
701-772-3460
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