Participant Info

Membership Number
169
Salutation
Mrs
First Name
Mary Ellen Jackson
Middle/Maiden/Previous
Last Name
Coomer
Address 1
2305 Bill Smith Road
Address 2
City
Martinsville
Zip Code
46151
Phone
765 349-2052
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