EFTA00003069.pdf

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Page 1 15 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 
Emergency Contact Form 
Date: 
09/10/18 
Start Date: 
08/26/2018 
Employee Name: Stephanie Remington 
Address: 
Phone: 
Title / Position: Asst to Manager 
Slergency Information: 
Allergies or Health Concerns: 
Blood Type: 
Current Medication: 
18-1-3 Estate Smith Bey 00002 
Cell: 
E-Mail: 
Marital Statu,, single 
License: 
 
Doctor's Name: 
Island Health 8, Wellness Center 
Phone 
Doctor's Name: 
In case of an Emergency, Please contact: 
Relationship 
Relationship 
Phone: 
Enema 
''hone 
l'none 
This Information is for your safety and the safety of others 
EFTA00003069
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Page 1 - Position (121, 341)

Size: 109 x 12 pixels

Surrounding text: Name: Stephanie Remington 18-1-3 E

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Size: 38 x 9 pixels

Surrounding text: irth:

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Page 1 - Position (382, 377)

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Surrounding text: Mail:

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Page 1 - Position (231, 383)

Size: 51 x 7 pixels

Surrounding text: Cell:

Guess: [Phone number] phone_number 70%
Context contains 'cell' suggesting Phone number
Page 1 - Position (417, 416)

Size: 96 x 13 pixels

Surrounding text: nse:

Guess: [Short text - possibly name or number] unknown_short 20%
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Page 1 - Position (23, 472)

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Page 1 - Position (171, 484)

Size: 114 x 41 pixels

Surrounding text: tion: terns:

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Small redaction (~12 chars)
Page 1 - Position (115, 523)

Size: 26 x 23 pixels

Surrounding text: or Health Concerns ype: Medication:

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~2 chars)
Page 1 - Position (142, 546)

Size: 386 x 30 pixels

Surrounding text: Island Health & Wellness Center Phone

Guess: [Phone number] phone_number 70%
Context contains 'phone' suggesting Phone number
Page 1 - Position (326, 586)

Size: 71 x 27 pixels

Surrounding text: hone

Guess: [Phone number] phone_number 70%
Context contains 'phone' suggesting Phone number
Page 1 - Position (424, 692)

Size: 69 x 54 pixels

Surrounding text: others

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~7 chars)
Page 1 - Position (91, 694)

Size: 55 x 15 pixels

Surrounding text: In case of an Emergency, Name ame

Guess: [Short text - possibly name or number] unknown_short 20%
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Page 1 - Position (94, 718)

Size: 65 x 15 pixels

Surrounding text: lame ame Thi

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~7 chars)
Page 1 - Position (26, 733)

Size: 10 x 37 pixels

Guess: [Short text - possibly name or number] unknown_short 20%
Small redaction (~1 chars)
Extracted image

Page 1
photograph
1152 x 769

Possible photograph

People Mentioned
Places Mentioned
Document Info
File Path
VOL00001/IMAGES/0004/EFTA00003069.pdf
File Size
509 KB
Processed
2025-12-21 04:54
Status
completed
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