| number | 113493 |
|---|---|
| last_name | Abernathy |
| first_name | Cameron |
| middle_name | Daniel |
| prefix | Mr. |
| address1 | 919 Cambridge Dr. |
| city | Fort Collins |
| state | CO |
| zip | 80525 |
| expire_date | 12/31/2015 |
| date_granted | 1/14/2013 |
| work_phone | 9703472216 |
| employer | Big R Bridge |
| branch1 | CIV |
| Status | ACT |