Participant Info

Membership Number
7616
Salutation
First Name
Jamison
Middle/Maiden/Previous
Ross
Last Name
Black Bear
Address 1
710 Helen Street
Address 2
City
Ypsilanti
Zip Code
48198
Phone
734-799-6077
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