Participant Info

Membership Number
4291
Salutation
Mrs
First Name
Barbara K
Middle/Maiden/Previous
Last Name
Boska
Address 1
19 Bel Air Drive
Address 2
City
Sparta
Zip Code
7871
Phone
973-726-7532
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