LSJE, LLC [EFTA00003057]

LSJE, LLC \n6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340.775-8108 \nDate: \nEmployee Name: James Cesar \nAddress: \nPhone: \nEmergency Contact Form \nStart Date: \n05/04/17 \nDate of Birth: \nCell: \nE-Mail: \nTitle / Position: Carpenter \nMarital Status: Marne:: \nW\nmergency Info! \nn: \nBlood Type: \n! \nCurrent Medication: \nDoctors Name: \nDoctor's Name: \nPhone: \nPhone: \nIn case of an Emergency, Please contact : \nRelationship \nRelationship \nPhone \nThis Information is for your safety and the safety of others \nEFTA00003057\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: \nEmployee Name: James Cesar \nAddress: \nPhone: \nEmergency Contact Form \nStart Date: \n05/04/17 \nDate of Birth: \nCell: \nE-Mail: \nTitle / Position: Carpenter \nMarital Status: Marne:: \nW\nmergency Info! \nn: \nBlood Type: \n! \nCurrent Medication: \nDoctors Name: \nDoctor's Name: \nPhone: \nPhone: \nIn case of an Emergency, Please contact : \nRelationship \nRelationship \nPhone \nThis Information is for your safety and the safety of others \nEFTA00003057