Participant Info

Membership Number
4619
Salutation
Mrs
First Name
Vickie
Middle/Maiden/Previous
Last Name
Kizer
Address 1
1012 Nelson Lane
Address 2
City
Fremont
Zip Code
68025
Phone
402-721-5827
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