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efta-01304186DOJ Data Set 10Other

EFTA01304186

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01304186
Pages
1
Persons
0
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Extracted Text (OCR)

EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
C Phon Today's Date: [10/21/18 Employee Name: Physical Address: Mailing Address: Cell Phone: E-mail: Title/Position: Peter St Omer Operator Allergies or Health Concerns: N/A LSJE, LLC 6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348 E-mail: thesaintjames.group@gmail.com Emergency Contact Form Blood type: A- El A+ E AB- El AB+ Current Medications: Doctor's Name: Doctor's Name: In case of emergency, please contact: Name: Name: Kishma Demitri Relationship: Relationship: Friend Son Start Date: Date of Birth Phone (other): Marital Status: Driver's License No: Married EJ B+ K o- n o+ ri Unknown Doctor's Phone: Doctor's Phone: Phone: Phone: This information is for your safety and the safety of others. EFTA01304186

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Email addresses, URLs, phone numbers, and other technical indicators extracted from this document.

Emailthesaintjames.group@gmail.com
Phone802-1348

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