| Church/Organization | |
| Preferred First Name | |
| Street Address | 2545 Zuider Zee Cir |
| City | Elverta |
| Postal/Zip Code | 95626 |
| Mobile Phone | |
| Home Phone | |
| Office Phone |
| Membership Credential | |
| Mailing List | No |
| Marital Status | Married |
| Length of Marriage | 19 years, 11 months ago |
