Participant Info

Membership Number
1011
Salutation
Ms
First Name
Janis N
Middle/Maiden/Previous
Last Name
Ingerson
Address 1
317 Corte' Rayado
Address 2
City
Rohnert Park
Zip Code
94928
Phone
707-585-9171
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
Name/Location of Company Worked
Dates of Work
Type of Work
Rosie Name if Rb or Rv
Is/Was Rosie a member of ARRA?
Contact Name (Deceased Rosie Contact)
Contact Email Address
Contact Phone Number