Participant Info

Membership Number
3204
Salutation
First Name
Debra Jacobs
Middle/Maiden/Previous
Last Name
Kreis
Address 1
339 Katherine Avenue
Address 2
City
Ashland
Zip Code
44805
Phone
419-496-9042
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