Participant Info

Membership Number
3397
Salutation
Mr
First Name
Johnny Charles
Middle/Maiden/Previous
Last Name
Boe
Address 1
5333 Crossandra Street SE
Address 2
City
Prior Lake
Zip Code
55372
Phone
952-440-3793
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