Participant Info

Membership Number
7655
Salutation
First Name
Melissa
Middle/Maiden/Previous
Last Name
Kemen
Address 1
456 Thomas St SE
Address 2
City
Grand Rapids
Zip Code
49503
Phone
630-649-2255
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
Friend of Rosie
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