Participant Info

Membership Number
118
Salutation
Mrs
First Name
Helen
Middle/Maiden/Previous
Last Name
Eash
Address 1
408 Stamm Street Apt A
Address 2
City
Archbold
Zip Code
43502
Phone
418-445-4398
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