Participant Info

Membership Number
1110
Salutation
Mrs
First Name
Pauline
Middle/Maiden/Previous
Last Name
Siber
Address 1
400 Pennock St
Address 2
City
Minerva
Zip Code
44657
Phone
330-875-4936
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