Case File
efta-01342058DOJ Data Set 10OtherEFTA01342058
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01342058
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
A
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
Emergency Contact Form
04/10/18
Start Date:
05/04/17
Employee Name: James Cesar
Address:
Phone:
Title / Position: Carpenter
l
mergency Info' •
Allergies or Hea't .
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
Cell:
In case of an Emergency, Please contact :
Name
Wisner Piern
Relationship
44*.arne
Afred Piem
Relationship
Marital Status:
Phone:
Phone:
Date of Birth:
E-Mail:
License:
LLZ
C
Phone
Phone
This Information is for your safety and the safety of others
EFTA01342058
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