EFTA00003061.pdf

VOL00001 1 pages 11 redactions 2.4% redacted

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Page 1 11 redactions 100% OCR confidence 
V 
3 
LSJE, LLC 
00 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 
Fax: 
Date: 
C6'4'18
Employee Name: Michae J G,caen 
Emergency Contact Form 
Start Date: 
04/20/18 
Address: 
rSJ 
Date of Birth: 
Phonc. 
Cell: 
E-Mail: 
Title / Position: Engineer 
Marital Status: Divorce 
License: 
ergency Information: 
Allergies or Health Concerns: 
Blood Type: 
Current Medication: 
Doctor's Name: 
Phone: 
Doctor's Name: 
Phone: 
In case of an Emergency, Please contact: 
Maine 
Relationship 
Relationship 
Son 
Phone 
Brother 
Phone 
This Information is for your sofety and the safety of others 
EFTA00003061
Page 1 - Position (437, 128)

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Surrounding text: Birth:

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Surrounding text: ail:

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Surrounding text: none:

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Size: 58 x 10 pixels

Surrounding text: Cell:

Guess: [Phone number] phone_number 70%
Context contains 'cell' suggesting Phone number
Page 1 - Position (422, 370)

Size: 68 x 12 pixels

Surrounding text: nse:

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Surrounding text: or Health Concerns: Type: None Medication:

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Surrounding text: case of an Emergency, P ame ame

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Page 1 - Position (88, 676)

Size: 55 x 11 pixels

Surrounding text: ame ame

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Extracted image

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photograph
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Possible photograph

People Mentioned
Places Mentioned
Document Info
File Path
VOL00001/IMAGES/0004/EFTA00003061.pdf
File Size
510 KB
Processed
2025-12-21 04:52
Status
completed
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