Participant Info

Membership Number
4818
Salutation
Mr.
First Name
Martin John
Middle/Maiden/Previous
Last Name
White
Address 1
104 N. Litchfield St.
Address 2
City
Frankfort
Zip Code
13340
Phone
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