Participant Info

Membership Number
2275
Salutation
Mrs
First Name
Laurie Ann Larsen
Middle/Maiden/Previous
Last Name
Johnson
Address 1
3610 Bending Brae
Address 2
City
Brookfield
Zip Code
53005
Phone
262-781-6398
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