Participant Info

Membership Number
1637
Salutation
Mrs
First Name
Paula Burgess
Middle/Maiden/Previous
Last Name
Cook
Address 1
516 N Country Club Terrace
Address 2
City
Mustang
Zip Code
73064
Phone
404-745-3196
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