Participant Info

Membership Number
2781
Salutation
Miss
First Name
Monika Katherine
Middle/Maiden/Previous
Last Name
Larsen
Address 1
Address 2
City
Waukegan
Zip Code
Phone
Work Code #
Date of Birth
Date of Death
11/30/2011
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