LSJE, LLC [EFTA00003063]

LSJE, LLC \n6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 \nDate: \n03/19/18 \nEmployee Name: Oriole Joseph \nAddress: \nPhon \nTitle/ Position: Maintenance \nlimergency Information: \nAllergies or Health Concerns: \nBlood Type: \nCurrent Medication: \nDoctor's Name: \nDoctor's Name: \nEmergency Contact Form \nBlood type unspecified \nStart Date: \n10/01/16 \nDate of Birth \nE-Mail: \nMarital Status: Single \nLicense: \nPhone: \nPhone: \nIn case of an Emergency, Please contact : \nRelationship \nPhone \nRelationship \nCousin \nPhone \nThis Information is for your safety and the safety of others \nEFTA00003063\n\n--- Page Break ---\n\nLSJE, LLC \n6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 \nDate: \n03/19/18 \nEmployee Name: Oriole Joseph \nAddress: \nPhon \nTitle/ Position: Maintenance \nlimergency Information: \nAllergies or Health Concerns: \nBlood Type: \nCurrent Medication: \nDoctor's Name: \nDoctor's Name: \nEmergency Contact Form \nBlood type unspecified \nStart Date: \n10/01/16 \nDate of Birth \nE-Mail: \nMarital Status: Single \nLicense: \nPhone: \nPhone: \nIn case of an Emergency, Please contact : \nRelationship \nPhone \nRelationship \nCousin \nPhone \nThis Information is for your safety and the safety of others \nEFTA00003063