Case File
efta-01342057DOJ Data Set 10OtherEFTA01342057
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01342057
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
"ame Afred Piern
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
04/10/18
Employee Name: James Cesar
Address:
Phone:
Title / Position: Cal
zmergency Info! r
Allergies or Hea'ti- '
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
Emergency Contact Form
Cell:
Marital Status:
f: fled
Phone:
Phone:
In case of an Emergency, Please contact :
Name
Wisner Piern
Relationship
Relationship
Fax:
Start Date:
05/04/17
Date of Birth:
E-Mail:
License:
Phone
Phone
This Information is for your safety and the safety of others
L
III
EFTA01342057
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