Participant Info

Membership Number
7821
Salutation
First Name
John
Middle/Maiden/Previous
Last Name
Moseley
Address 1
PO BOX 1035
Address 2
City
CAROLINA BEACH
Zip Code
28428
Phone
336-456-1143
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