Participant Info

Membership Number
4873
Salutation
Mrs
First Name
Doshie Inez
Middle/Maiden/Previous
Last Name
Puckett
Address 1
2156 Oland Circle
Address 2
City
Marietta
Zip Code
30060
Phone
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