Participant Info

Membership Number
4010
Salutation
Ms
First Name
Susan Ellis
Middle/Maiden/Previous
Last Name
Amerson
Address 1
PO Box 554
Address 2
City
Big Bear Lake
Zip Code
92315
Phone
909-866-0630
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