Participant Info

Membership Number
2138
Salutation
Ms
First Name
Susie Ann Lewis
Middle/Maiden/Previous
Last Name
Puckett
Address 1
PO Box 66
Address 2
City
Tazewell
Zip Code
24641
Phone
Work Code #
3
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