Participant Info

Membership Number
5105
Salutation
Mr
First Name
Carl D.
Middle/Maiden/Previous
Last Name
Young
Address 1
408 N. Wheeling Ave.
Address 2
City
Kansas City
Zip Code
64123
Phone
(816)739-2713
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