Participant Info

Membership Number
1320
Salutation
Mrs
First Name
Judith Petty
Middle/Maiden/Previous
Last Name
Brunner
Address 1
309 N 17th Street
Address 2
City
Fernandina Beach
Zip Code
32034
Phone
904-261-0426
Work Code #
6
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