Personal Info
| Church/Organization | |
| Preferred First Name | |
| Street Address | 633 Big Pasture Rd |
| City | Lake Charles |
| Postal/Zip Code | 70607-8902 |
| Mobile Phone | |
| Website | |
| Home Phone |
General Membership Info
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Married |
| Length of Marriage | 39 years, 8 months ago |