Participant Info

Membership Number
450
Salutation
Ms
First Name
Lee Anne
Middle/Maiden/Previous
Last Name
Bullikson
Address 1
Address 2
City
Zip Code
Phone
208-746-8694
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