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LSIE, LLC

DOJ EFTA Data Set 10 document EFTA01342049

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DOJ EFTA Data Set 10 document EFTA01342049

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
LSIE, LLC Emergency Contact Form Start Date: Date: 04/10/18 Employee Name: Dalce Gusneme Address: Date of Birth: 12/28/66 Phone: 340-643-4374 E-Mail: / Position: Marital Status: Married License: mergency Informatir Allergies or Health Concerns: Blood Type: Blood type no specified Current Medication: Doctor's Name: Phone: Doctor's Name: Phone: In case of an Emergency, Please contact : Name Licimene Dalce Relationship Sister JI. a me Relationship Phone This Information is for your safety and the safety of others • .•• V. Phone 340-344-1819 EFTA01342049

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Phone340-344-1819
Phone340-643-4374

Related Documents (6)

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LSIE, LLC Emergency Contact Form Start Date: Date: 04/10/18 Employee Name: Dalce Gusneme Address: Date of Birth: 12/28/66 Phone: 340-643-4374 E-Mail: / Position: Marital Status: Married License: mergency Informatir Allergies or Health Concerns: Blood Type: Blood type no specified Current Medication: Doctor's Name: Phone: Doctor's Name: Phone: In case of an Emergency, Please contact : Name Licimene Dalce Relationship Sister JI. a me Relationship Phone This Informati

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EFTA_00 192983 LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 Emergency Contact Form Date: 04/10/18 Start Date: 04/10/18 Employee Name: Dalce Gusneme Address: Date of Birth: Phone: / Position: Marital Status: Married • • - mergency Informaik.;1: Allergies or Health Concerns: Blood Type: Current Medication: Doctor's Name: Doctor's Name: Blood type not specified Phone: Phone: In case of an Emergency, Please contact :

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I WELLS FARGO CARD SERVICES PO BOX 77053 MINNEAPOLIS MN 55480-7753 YKG 95 Cheek here and see reverse for address comiDEN T I A n L i— SDNY_GM_00028498 EFTA_00113911 IS EFTA01279535 IMPORTANT INFORMATION ABOUT YOUR ACCOUNT Billing Anales Surnmary. II you bNºwyaur your is wrong ( 1 o 'I.a rf you need more informát,s abaca a tramite:ion on yace b il.wn:e:ou+on a separate sheet of pape. as :zonas postra* al: PD. Boa 522. Des Monea, IA 50305-0522.We must hear frOrnyOUISO lates tha

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Kristen M. Simkins From: Sent: To: Cc: Subject: Irons, Janet < Tuesday, July 12, 2016 10:47 AM Richard C. Smith     Hello Warden Smith,     mother is anxious to hear the results of your inquiry into her daughter's health.   I'd be grateful if you could  email or call me at your earliest convenience.  I'm free today after 2 p.m.  Alternatively, we could meet after the Prison  Board of Inspectors Meeting this coming Thursday.    Best wishes,    Janet Irons    1 Kristen M. Simkins From: Sent:

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