Participant Info

Membership Number
3643
Salutation
Mrs
First Name
Mary Ella
Middle/Maiden/Previous
Last Name
Shivar
Address 1
Address 2
City
Rome
Zip Code
Phone
706-234-6545
Work Code #
6&2
Date of Birth
Date of Death
18-Aug
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