Participant Info

Membership Number
1360
Salutation
Ms
First Name
Rachel M
Middle/Maiden/Previous
Last Name
Clark-Burris
Address 1
500 Casa Bello Court
Address 2
City
Irving
Zip Code
75038
Phone
806-794-3673
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