Participant Info

Membership Number
4555
Salutation
Mrs
First Name
Rub
Middle/Maiden/Previous
Henderson
Last Name
Smith
Address 1
22466 Ann Arbor Trail
Address 2
City
Dearborn Hgts
Zip Code
48127
Phone
Work Code #
1
Date of Birth
Date of Death
07/24/2019
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