Participant Info

Membership Number
4929
Salutation
First Name
Irene Polzin
Middle/Maiden/Previous
Last Name
Bies
Address 1
522 Sycamore Circle
Address 2
City
Saline
Zip Code
48176
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