Participant Info

Membership Number
4196
Salutation
Mr
First Name
Leonard Donald
Middle/Maiden/Previous
Last Name
Sergent
Address 1
PO Box 126
Address 2
City
Henderson
Zip Code
25106
Phone
304-675-6411
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