Participant Info

Membership Number
4368
Salutation
Ms
First Name
Carole Ann
Middle/Maiden/Previous
Last Name
Smith
Address 1
6229 W Illini St
Address 2
City
Phoenix
Zip Code
85043
Phone
602-820-5897
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