Participant Info

Membership Number
530
Salutation
Mr
First Name
David Gordon
Middle/Maiden/Previous
Last Name
Talley
Address 1
Address 2
City
Dayton
Zip Code
45405
Phone
937-277-8133
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