Participant Info

Membership Number
4532
Salutation
Mr
First Name
Donald Arthur
Middle/Maiden/Previous
Last Name
Werth
Address 1
533 Trimmer Rd
Address 2
City
Spencerport
Zip Code
14559
Phone
585-352-1588
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