Participant Info

Membership Number
3249
Salutation
First Name
Courtney
Middle/Maiden/Previous
Last Name
Kline
Address 1
62 Leroy Street Apt 5E
Address 2
City
New York
Zip Code
10014
Phone
646-207-8025
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