Participant Info

Membership Number
3225
Salutation
Mrs
First Name
Mickey Lynne
Middle/Maiden/Previous
Last Name
Phillips
Address 1
PO Box 64
Address 2
City
Wallace
Zip Code
69169
Phone
308-387-4303
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