Participant Info

Membership Number
4628
Salutation
Mrs
First Name
Patricia Christy
Middle/Maiden/Previous
Last Name
Vampola
Address 1
PO Box 42
Address 2
City
Comstock
Zip Code
68828
Phone
308-628-4293
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