Participant Info

Membership Number
3809
Salutation
Mrs
First Name
Holly Ann
Middle/Maiden/Previous
Last Name
Johansen
Address 1
225 Mill Harbor Drive
Address 2
City
Arnold
Zip Code
21012
Phone
410-647-4056
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