Participant Info

Membership Number
5023
Salutation
First Name
David Kent
Middle/Maiden/Previous
Last Name
Repulski
Address 1
P.O. Box 549
Address 2
City
Sidney
Zip Code
69162
Phone
(308)249-4668
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
NE
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