📄 Extracted Text (141 words)
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SONY GM 00169398
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LSJE, LLC
St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108
t 6100 Red Hook Quarters Suite B-3
Emergency Contact Form
Start Date:
Date: 04/09/18
Employee Name:
Date of Birth: 06/20/67
Address:
Cell: I E-Mail:
Phone:
Title / Position: Housekeeper Marital Status: Married License: [
/Emergency Information:
No
Allergies or Health Concerns:
Blood Type:
Current Medication:
Doctor's Name: Phone:
0
Doctor's Name: Phone:
In case of an Emergency, Please contact :
Name Relationship Phone
'Jame Relationship Pastor Phone
This Information is for your safety and the safety of others
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EFTA01304188
ℹ️ Document Details
SHA-256
61d23fc4b7b3779352752f85adde6f799725fac62661622efc7168a1b9b523bd
Bates Number
EFTA01304188
Dataset
DataSet-10
Document Type
document
Pages
1
Comments 0