Participant Info

Membership Number
481
Salutation
Ms
First Name
Carolyn K
Middle/Maiden/Previous
Last Name
Shaw
Address 1
108 Medina Drive
Address 2
City
Texarkana
Zip Code
75503
Phone
903-832-1355
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