Participant Info

Membership Number
4496
Salutation
Ms
First Name
Michele A
Middle/Maiden/Previous
Last Name
Pisa-Jones
Address 1
1252 Skylake Ave
Address 2
City
Brea
Zip Code
92821
Phone
562-245-7234
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