EPSTEIN
page 9 / 717 . OCR, unverified
METADATA_FILENAME: EFTA01342067.pdf
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LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
Date:
03/25/18
Employee Name: Pierre Jules
Emergency Contact Form
Fax:
Start Date:
Address:
Date of Birth:
Phone:
Cell:
E-Mail:
n/a
Title / Position: Operator
Marital Status: Single
License:
i mergency Information:
Allergies or Health Concern
Blood Type:
Current Medication:
Doctor's Name:
n a
Phone: n a
Doctor's Name:
n/a
Phone: n a
In case of an Emergency, Please contact :
Relationship
Brother
Phone
Relationship
Friend
Phone
This Information is for your safety and the safety of others
EFTA01342067
--- SOURCE: IMAGES__0013__EFTA01342068.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342068.pdf
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Tor
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
Date:
04/11/12
Employee Name: Randy Amparo
Address:
Phone:
Cell:
E-Mail:
Title / Position: Boat Captain
mergency Information:
Allergies or Health Concerns:
Blood Type:
IO
Current Medication:
Doctor's Name:
Doctor's Name:
NA
In case of an Emergency, Please contact :
Name
Jame
Relationship
Relationship
Marital Status:
Phone:
Phone:
Emergency Contact Form
Fax:
Start Date:
Date of Birth:
License:
Father
Phone
Mother
Phone
This Information is for your safety and the safety of others
EFTA01342068
--- SOURCE: IMAGES__0013__EFTA01342069.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342069.pdf
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l
ame
Drake Remington
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
Employee Name: Stephanie Remington
Start Date:
08/26/2018
Address:
Date of Birth:
Phone:
Cell:
E-Mail: ■
Title / Position: Asst to Manager
Marital Status: Single
License:
l
iergency Information:
No allergies
Allergies or Health Concerns:
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
In case of an Emergency, Please contact :
Name
Patrick Cena
Relationship
Relationship
Phone:
Phone:
Friend
Phone
Phone
This Information is for your safety and the safety of others
EFTA01342069
--- SOURCE: IMAGES__0013__EFTA01342070.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342070.pdf
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S.
Today's Date:
Employee Name:
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
LSJE, LLC
6100 Red I look Quarters, Suite -
'
— ) • s VI 00802-1348
Emergency Contact Form
01/11/18
(Supervisor
Allergies or Health Concerns:
Blood type:
None
Start Date:
Date of Birth:
Phone (other):
Marital Status:
Driver's License No:
Single
Current Medications:
Doctor's Name:
Doctor's Name:
Dr. Alah
In case of emergency, please contact:
Name:
Name:
kacinta Gaillard
Relationship:
Relationship:
Doctor's Phone:
Doctor's Phone:
'Mother
Phone:
Phone: I
This information is for your safety and the safety of others.
EFTA01342070
--- SOURCE: IMAGES__0013__EFTA01342071.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342071.pdf
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EFTA01342071
--- SOURCE: IMAGES__0013__EFTA01342072.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342072.pdf
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EFTA01342072
--- SOURCE: IMAGES__0013__EFTA01342073.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342073.pdf
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EFTA01342073
--- SOURCE: IMAGES__0013__EFTA01342074.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342074.pdf
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EFTA01342074
--- SOURCE: IMAGES__0013__EFTA01342075.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342075.pdf
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EFTA01342075
--- SOURCE: IMAGES__0013__EFTA01342076.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342076.pdf
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EFTA01342076
--- SOURCE: IMAGES__0013__EFTA01342077.txt ---
METADATA_SOURCE: IMAGES0013
METADATA_FILENAME: EFTA01342077.pdf
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