| Church/Organization | |
| Preferred First Name | |
| Street Address | 88 Chestnut St |
| City | Milltown |
| Postal/Zip Code | 08850 |
| Home Phone | |
| Office Phone |
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Married |
| Length of Marriage | 71 years, 7 months ago |
