Participant Info

Membership Number
2344
Salutation
Miss
First Name
Abigail Brandy
Middle/Maiden/Previous
Last Name
Bush
Address 1
2614 Mohawk Street
Address 2
City
Longview
Zip Code
75605
Phone
334-281-5743
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