Participant Info

Membership Number
3814
Salutation
Mr
First Name
Paul
Middle/Maiden/Previous
Last Name
Myers
Address 1
5045 Revere Avenue NW
Address 2
City
Massillon
Zip Code
44647
Phone
330-837-9491
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