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Efta Id
-
Dataset
-
Hash Sha256
66480c3e14d41f00d6a45936895981f5fa6b90b27ca7c6cf97111d5b5a497767
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OCR text
Page 1 LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. 3 Fax Thomas, VI 00802 Tel: Emergency Contact Form Date: Start Date: 03 19:8 02t05/18 Employee Name: Pd rick L. Cena Address: Phone Date of Birth: E-Mail: Cell: Marital Status: Divorce Title / Position: Captain i vi 00802 S.€ x 1 s License: mergency Information: No blood type spectfied Allergies or Health Concerns: Blood Type: Current Medication: Doctor's Name: Phone: Doctor's Name: Phone: In case of an Emergency, Please contact : Name L ante Relationship Father/Stepmother Phone Relationship Fnend Phone This Information is for your safety and the safety of others EFTA00003064 { E i : me s ee . ‘ * - ee: LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, V1 00802 Tel: me: ae =—— 2 Ee eae SE Emergency Contact Form Date: 03/19/18 Start Date: 02/05/18 Employee Name: Patrick L. Cena Address: : 201, St Thomas Vi 00802 Date of Birth: fT : * ee - Phone {i Cel: | Mai: Title / Position: Captain Marital Status: Divorce License: | ee Information: No blood type specified U Allergies or Health Concerns: BloodType: | 7” Current Medication: \ Doctor's Name: Phone: Doctor's Name: Phone: In case of an Emergency, Please contact : Name ae Relationship —_ Father/Stepmother Phone This Information is for your safety and the safety of others Ween ey vf z . 3 + ae if x os : rk r *. ? + F FS . ar ~ ¢ « Pg : f . ° r ’ . : EFTA00003064
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EFTA00003064.pdf
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application/pdf
Source path
/srv/provenance-intake/investigations/dcba1340-07e3-447a-a007-c6748522c796/processing/VOL00001/IMAGES/0004/EFTA00003064.pdf
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66480c3e14d41f00d6a45936895981f5fa6b90b27ca7c6cf97111d5b5a497767
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admin
Created
07/15/2026 - 11:53
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Document status: uploaded
Stored OCR text: 1,456 characters
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