Participant Info

Membership Number
248
Salutation
Ms
First Name
Heidi Anne
Middle/Maiden/Previous
Last Name
Leatherwood
Address 1
4497 Cody Brook Drive
Address 2
City
Liberty Township
Zip Code
45011
Phone
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