Participant Info

Membership Number
2283
Salutation
Mrs
First Name
Cindy Kozelka
Middle/Maiden/Previous
Last Name
Hutchins
Address 1
200 North Jefferson Street
Address 2
City
Verona
Zip Code
53593
Phone
608-845-7672
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