Participant Info

Membership Number
2168
Salutation
Ms
First Name
Faye M
Middle/Maiden/Previous
Last Name
Thaxton
Address 1
4964 Hwy 29 S
Address 2
City
Colbert
Zip Code
30628
Phone
707-788-2414
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