Participant Info

Membership Number
4396
Salutation
Mr
First Name
James Edward
Middle/Maiden/Previous
Last Name
Shawley
Address 1
753 West Main St Apt 7
Address 2
City
Mount Pleasant
Zip Code
15666
Phone
724-887-5884
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