Participant Info

Membership Number
2023
Salutation
Ms
First Name
Celia Ramirez
Middle/Maiden/Previous
Last Name
Jorgensen
Address 1
PO Box 1521
Address 2
City
Pauma Valley
Zip Code
92061
Phone
760-742-0498
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