| Church/Organization | |
| Preferred First Name | |
| Street Address | 200 Liberty Pl |
| City | South Saint Paul |
| Postal/Zip Code | 55075 |
| Mobile Phone | |
| Home Phone | |
| Office Phone |
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Married |
| Length of Marriage | 37 years, 10 months ago |
