Participant Info

Membership Number
932
Salutation
Mrs
First Name
Faustina
Middle/Maiden/Previous
C.
Last Name
Payne
Address 1
2488 W Irwin Way
Address 2
City
Eugene
Zip Code
97402
Phone
Work Code #
Date of Birth
Date of Death
09/27/2017
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