Participant Info

Membership Number
4021
Salutation
Mrs
First Name
Jean Shaw
Middle/Maiden/Previous
Last Name
Streatfeild
Address 1
150 County Rd 66
Address 2
City
Fort Payne
Zip Code
35967
Phone
256-997-0836
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