Personal Info
| Church/Organization | |
| Preferred First Name | |
| Suffix | Sr |
| Street Address | 15124 Cimarron Way |
| City | Rosemount |
| Postal/Zip Code | 55068 |
| Mobile Phone | |
| Home Phone | |
| Office Phone |
General Membership Info
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Married |
| Length of Marriage | 38 years, 9 months ago |