Participant Info

Membership Number
7371
Salutation
First Name
Kimberly
Middle/Maiden/Previous
Mei
Last Name
Lai
Address 1
2412 Middlecroft Drive
Address 2
City
Burton
Zip Code
48509
Phone
810-962-9024
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
Name/Location of Company Worked
Dates of Work
Type of Work
Military Member - SRA, Medic
Rosie Name if Rb or Rv
Is/Was Rosie a member of ARRA?
Contact Name (Deceased Rosie Contact)
Contact Email Address
Contact Phone Number