EPSTEIN
page 7 / 717 . OCR, unverified
ergency Information:
Allergies or Health Concerns:
Blood Type:
0+
Current Medication:
Doctor's Name:
Doctor's Name:
Phone:
Phone:
LL2
C
In case of an Emergency, Please contact :
Name
Kendra Daniel
,LA
.
Sophie Happar
Relationship
Girlfriend
Relationship
Sister
Phone
Phone
This Information is for your safety and the safety of others
EFTA01342054
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LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
Fax:
Emergency Contact Form
Date:
03/20/18
Employee Name: Gerry Titre
Address:
Date of Birth:
Start Date:
Phone:
Cell:
E-Mail:
n/a
itle / Position: Maintenance
Marital Status:
License:
nergency Information:
Allergies or Health Concerns:
Blood 1 ype:
Current Medication:
Doctor's Name:
Red Hook Family Practice
Phone:
Doctor's Name:
Phone:
z
C
In case of an Emergency, Please contact :
Name
Valerie
Relationship
posolldme Gerrycia
Relationship
This Information is fo your sarery ana me satety ot others
EFTA01342055
--- SOURCE: IMAGES__0013__EFTA01342056.txt ---
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METADATA_FILENAME: EFTA01342056.pdf
----------------------------------------
Date:
03/19/18
Employee Name:
Address:
Phone
Title / Position: Painti
mergency Informat'
Allergies or Health Concerns:
Blood Type:
Current Medication:
Emergency Contact Form
Cell:
Start Date:
Date of Birth:
E-Mail:
Marital Status: Single
License:
Doctor's Name:
Phone:
Doctor's Name:
Phone:
In case of an Emergency, Please contact :
Name
Mariana Bedminster
l
ame
Ann
Relationship
Mother
Phone
Relationship
Anty
Phone
This Information is for your safety and the safety of others
LL
C
EFTA01342056
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METADATA_FILENAME: EFTA01342057.pdf
----------------------------------------
"ame Afred Piern
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
Date:
04/10/18
Employee Name: James Cesar
Address:
Phone:
Title / Position: Cal
zmergency Info! r
Allergies or Hea'ti- '
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
Emergency Contact Form
Cell:
Marital Status:
f: fled
Phone:
Phone:
In case of an Emergency, Please contact :
Name
Wisner Piern
Relationship
Relationship
Fax:
Start Date:
05/04/17
Date of Birth:
E-Mail:
License:
Phone
Phone
This Information is for your safety and the safety of others
L
III
EFTA01342057
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METADATA_FILENAME: EFTA01342058.pdf
----------------------------------------
A
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
Date:
Emergency Contact Form
04/10/18
Start Date:
05/04/17
Employee Name: James Cesar
Address:
Phone:
Title / Position: Carpenter
l
mergency Info' •
Allergies or Hea't .
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
Cell:
In case of an Emergency, Please contact :
Name
Wisner Piern
Relationship
44*.arne
Afred Piem
Relationship
Marital Status:
Phone:
Phone:
Date of Birth:
E-Mail:
License:
LLZ
C
Phone
Phone
This Information is for your safety and the safety of others
EFTA01342058
--- SOURCE: IMAGES__0013__EFTA01342059.txt ---
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METADATA_FILENAME: EFTA01342059.pdf
----------------------------------------
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108
Date:
03/16/18
Employee Name: Justine de la Cruz
Emergency Contact Form
Start Date:
Address:
Date of Birth:
Phone:
Cell:
E-Mail:
Title / Position: Housekeeper
Marital Status: Married
License:
t tergency Information:
Allergies or Health Concerns:
Blood Type:
■
Current Medication:
Doctor's Name:
Doctor's Name:
NA
In case of an Emergency, Please contact :
Name
Feliz de la Cruz
- 'lame
Bembenido Gedeno
Phone:
Phone:
Relationship
Husband
Phone
Relationship
Brother
Phone
This Information is for your safety and the safety of others
EFTA01342059
--- SOURCE: IMAGES__0013__EFTA01342060.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342060.pdf
----------------------------------------
Phone:
Today's Date:
09/25/18
Employee Name:
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
LSJE, LLC
Emergency Contact Form
Keshaun Williams
Start Date:
Date of Birth:
110/01/18
Engineer
Allergies or Health Concerns:
N/A
Blood type:
A-
A+
E AB-
E AB+
Current Medications:
Doctor's Name:
Doctor's Name:
Phone (other):
Marital Status:
Driver's License No:
B+
❑X O+
K Unknown
In case of emergency, please contact:
Doctor's Phone:
Doctor's Phone:
Name:
Relationship:
Phone:
Burnet Williams
Mom
Name:
Relationship:
Phone:
Jess James
Friend
This information is for your safety and the safety of others.