Participant Info

Membership Number
5028
Salutation
Ms
First Name
Karen Kirk
Middle/Maiden/Previous
Last Name
Carter
Address 1
746 Widget Dr
Address 2
City
San Jose
Zip Code
95117
Phone
408 560-6691
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