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MEMBER ENROLLMENT INFORMATION
Policy Number: 000001 Division Number: 00001

Member Name: JOHNSON,MARLENE R
Social Security Number: 111-11-9999
Address: 423 WIND RD
.  
City: LINCOLN
State: NE
Zip: 68501
Date of Birth: 06/13/1963
Gender: Female
Class: 01 – All eligible members
Department #: 000001
Full Time Date of Hire: 11/30/2004
Occupation: OFFICE MANAGER
Hours Worked: 40
Earnings Paid: Salary
Dep Coverage: Waived