Participant Info

Membership Number
3467
Salutation
First Name
Carolyn Jackqulyn
Middle/Maiden/Previous
Last Name
Ross
Address 1
7975 Sherwood Blvd 7A
Address 2
City
Los Molions
Zip Code
96055
Phone
530-384-1314
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