Participant Info

Membership Number
472
Salutation
Mrs
First Name
Agnes Provateare
Middle/Maiden/Previous
Last Name
Ruzicka
Address 1
18222 N. Organ Pipe Dr
Address 2
City
Sun City
Zip Code
85373
Phone
330-493-4391
Work Code #
4
Date of Birth
12/26/1922
Date of Death
Deceased At Join?
Comments
does not want to get the newsletter. 9/22/2020 LW; DOB 12/26/1922 -- do not send mail
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