Participant Info

Membership Number
5092
Salutation
First Name
Gavin Patrick
Middle/Maiden/Previous
Last Name
Harris
Address 1
207 Burkwood Court, Apt M
Address 2
c/o Jeanne H. Brasefield
City
Bel Air
Zip Code
21015
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