Participant Info

Membership Number
142
Salutation
Mrs
First Name
Amanda Rabb
Middle/Maiden/Previous
Last Name
Klimko
Address 1
5173 Missy Lane
Address 2
City
Trussville
Zip Code
35173
Phone
205-655-9821
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