Participant Info

Membership Number
1969
Salutation
Ms
First Name
Katy E
Middle/Maiden/Previous
Last Name
Lewallen
Address 1
4171 Linda Lane
Address 2
City
Lilburn
Zip Code
30247
Phone
770-717-7150
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