Participant Info

Membership Number
4774
Salutation
Mr
First Name
Marcis J.
Middle/Maiden/Previous
Last Name
Kempe
Address 1
51 Granite Place Apt 1
Address 2
City
Milton
Zip Code
2186
Phone
617-696-0687
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