Participant Info

Membership Number
196
Salutation
Mrs
First Name
Claudia
Middle/Maiden/Previous
Last Name
Waidelich
Address 1
1405 Cole Creek Road
Address 2
City
Dallas
Zip Code
30157
Phone
678-363-8853
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