Participant Info

Membership Number
31
Salutation
Mrs
First Name
Polly Elizabeth Ensley
Middle/Maiden/Previous
Last Name
Ebbett
Address 1
Address 2
City
Pine Mtn Valley
Zip Code
Phone
Work Code #
7
Date of Birth
Date of Death
12/3/2003
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