Participant Info

Membership Number
1601
Salutation
Ms
First Name
Betsy
Middle/Maiden/Previous
Last Name
Wilson
Address 1
33 Bement Avenue
Address 2
City
Staten Island
Zip Code
10310
Phone
718-556-3941
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