Base

First Name 1

C. L.

Last Name 1

Hayes

Phone 1

229-995-6280 Home

First Name 2

Annette

Last Name 2

Hayes

Phone 2

229-347-5293 C.L.

Address

739 Melton Mill Rd

City

Dawson

State

GA

Zip Code

39842

Emergency contact name

Connie Copeland

Emergency Contact Relationship

daughter

Emergency contact phone

229-854-4027

Lot 1

110

Lot Count

1