Participant Info

Membership Number
7710
Salutation
First Name
Jennifer
Middle/Maiden/Previous
Last Name
Hayes
Address 1
1010 Magnolia Avenue
Address 2
City
Modesto
Zip Code
95350
Phone
209-529-2350
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