Participant Info

Membership Number
3548
Salutation
Mr
First Name
Joseph
Middle/Maiden/Previous
Last Name
Koscielecki
Address 1
3059 W River View Drive
Address 2
City
Bay City
Zip Code
48706
Phone
989-684-7648
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