Participant Info

Membership Number
268
Salutation
Mrs
First Name
Deni Sargol
Middle/Maiden/Previous
Last Name
Jordan
Address 1
1109 SE 4th Street
Address 2
City
Ft. Lauderdale
Zip Code
33301
Phone
954-462-7006
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