Participant Info

Membership Number
4728
Salutation
Mr
First Name
Andrew Mark
Middle/Maiden/Previous
Last Name
Molinich
Address 1
1091 Cambria St
Address 2
City
Nanty Glo
Zip Code
15943
Phone
814-749-7222
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