Participant Info

Membership Number
4018
Salutation
Mr
First Name
David William
Middle/Maiden/Previous
Last Name
Manney
Address 1
W15265 Park Ave
Address 2
City
Antigo
Zip Code
54409
Phone
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