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Efta Id
-
Dataset
-
Hash Sha256
7b83847f0102c106beaaabbc8f040e89e9b03a09339f18a8b87f3f740bd24220
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OCR text
Page 1 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: Start Date: 03/16/1B Employee Name: Justina de Is Cruz Date of Birth: Address: E-Mail: Cad Phone: Marital Status: Marred Title / Position: Housekeeper License: nergency Information: v. Allergies or Health Concerns: Blood Type: Current Medication: Doctor's Name: Phone: Doctor's Name: Phone: In case of an Emergency, Please contact: Name eaame Feliz de la Cruz Relationship Husband Phone Bembenido Gedeno Relationship Brother Phone This Information is for your safety and the safety of others EFTA00003058 f ; pi : , - be q LSJE, LLC LU 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 “3. ee . Emergency Contact Form Date: 03/16/18 Start Date: “9 = Employee Name: Justina de la Cruz i Address: a Date of Birth: | Phone co E-Mail: Title / Position: Housekeeper Marital Status: Married License: DD cere rgency Information: NA Allergies or Health Concerns: | — | | Current Medication: Doctor's Name: Phone: Doctor's Name: Phone: i | In case of an Emergency, Please contact : } Name Feliz de la Cruz Relationship Husband Phone jo, aN F —uameame Bembenido Gedeno Relationship Brother Phone ) This Information is for your safety and the safety of others , ‘ . & : : “fe Q “ a ¢ r + tet : ar? e a . ie ra ; ‘ by ‘ on “t 5 , : ay ) . EFTA00003058
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EFTA00003058.pdf
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application/pdf
Source path
/srv/provenance-intake/investigations/dcba1340-07e3-447a-a007-c6748522c796/processing/VOL00001/IMAGES/0004/EFTA00003058.pdf
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SHA-256 hash
7b83847f0102c106beaaabbc8f040e89e9b03a09339f18a8b87f3f740bd24220
Uploader
admin
Created
07/15/2026 - 11:53
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Best available source: Stored OCR text
Document status: uploaded
Stored OCR text: 1,480 characters
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