Participant Info

Membership Number
4699
Salutation
Mrs
First Name
Jolene M Bennett
Middle/Maiden/Previous
Last Name
Schrage
Address 1
84084 524th Ave
Address 2
City
Elgin
Zip Code
68636
Phone
402-843-6456
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