Participant Info

Membership Number
1898
Salutation
Ms
First Name
Avery P
Middle/Maiden/Previous
Last Name
Holmes
Address 1
3319 Hillside Way
Address 2
City
Forest Grove
Zip Code
97116
Phone
503-357-9226
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