| Church/Organization | |
| Preferred First Name | |
| Street Address | 6081 151st Ln Nw |
| City | Ramsey |
| Postal/Zip Code | 55303 |
| Mobile Phone | |
| Home Phone |
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Married |
| Length of Marriage | 57 years ago |
