Participant Info

Membership Number
3092
Salutation
Mrs
First Name
Diane
Middle/Maiden/Previous
Last Name
Stark
Address 1
121 Thomas Court
Address 2
City
Central Point
Zip Code
97502
Phone
541-324-7121
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