Participant Info

Membership Number
4214
Salutation
Mrs
First Name
Jane M
Middle/Maiden/Previous
Vincent
Last Name
Lagoon
Address 1
2959 N Columbine Ave
Address 2
City
Boise
Zip Code
83713
Phone
208-376-4590
Work Code #
1
Date of Birth
12/07/0925
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