EFTA00003049.pdf

VOL00001 1 pages 6 redactions 1.7% redacted

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Page 1 6 redactions 100% OCR confidence 
LSJE, LLC 
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 
'H" 
Emergency Contact Form 
Date: 
06/04/18 
Employee Name: Danny Etienne 
Address: 
'tvititE 
Title / Posit.:'i.: Ma 
• 
Start Date: 
Date of Birth: 
C tit 
E-Mail: 
Marital Status: Single 
License: 
Emergency Information: 
Allergies or Health Concerns: 
Blood Type: L 
Current Medication: 
Doctor's Name: 
Dodglas 
Phone: 
Doctor's Name: 
Dodglas 
Phone: 
In case of an Emergency, Please contact: 
Name Maria 
Relationship 
ame 
Relationship 
Etienne 
Phone 
Girlfriend 
Phone 
This Information is for your safety and the safety of others 
EFTA00003049
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Surrounding text: Birth:

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Surrounding text: Cell Marital Status: c

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Context contains 'cell' suggesting Phone number
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Surrounding text: ame Maria ame

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Extracted image

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Possible photograph

People Mentioned
Places Mentioned
Document Info
File Path
VOL00001/IMAGES/0004/EFTA00003049.pdf
File Size
470 KB
Processed
2025-12-21 04:52
Status
completed
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