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EFTA00002884.pdf
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EFTA00002884
|
EFTA00003014.pdf
|
EFTA00003014
|
EFTA00003035.pdf
|
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Today s Date:
LSJE, LLC
6100 Red Hook Quarters, Suite B-3. St. Thomas. VI 00802-1348
Phone
E-mail: thesaintjames.group@umaii.com
Emergency Contact Form
Employee Name: IC4:1/44eLT&S D tor._
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
Start Date:
Date of Birth:
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This information is for your safety and the safety of others.
EFTA00003035
|
EFTA00002904.pdf
|
EFTA00002904
|
EFTA00003060.pdf
|
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LSJE, LLC
6100 Red !look Quarters Suite B-3 St. Thomas, VI 00802 Tel:
Emergency Contact Form
Date:
03/19/18
Employee Name: Leiria
fliornit
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Address:
Phone
Coll-
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emergency Information:
Allergies or Health Concerns:
Blood Type:
Current Medication:
Doctor's Name:
Coorbin
Doctor's Name:
Coorbin
Fax::
Start Date:
Date of Birth:
E-Mail:
Marital Status: Married
License:
In case of an Emergency, Please contact:
Relationship
Marned
Relationship
Son
Phone:
Phone:
Phone
Phone
This Information is for your safety and the safety of others
EFTA00003060
|
EFTA00003052.pdf
|
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108
Emergency Contact Form
Stmergenqi is r.
Date:
06/14118
Start Date:
Employee Name: Feta° Joseph
Address:
Dnoni,
Allergies or Health Corcerns:
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
Ces::
Date of Birth:
E-Mail:
Marital Status: Single
License:
Phone:
Phone:
In case of an Emergency, Please contact:
Name
Jennifer
Relationship
a
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Fay
Girlfriend
Phone
Relationship
sister
Phone
This Information is for your safety and the safety of others
EFTA00003052
|
EFTA00002911.pdf
|
EFTA00002911
|
EFTA00002882.pdf
|
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EFTA00002882
|
EFTA00003047.pdf
|
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:
Employee Name: Cuthbert F Titre
Start Date:
ema V1 00602
Address:
St Th
Date of Birth:
Phone:
Cell:
E-Mail:
itle / Position:
Marital Status: Single
License:
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Allergies or Health Concerns.
Blood Type:
Current Medication:
Doctor's Name:
mono Juelle
Doctor's Name:
Phone:
Phone:
In case of an Emergency, Please contact :
Relationship
Sister
Phone
Relationship
soother
Phone
This Information is for your safety and the safety of others
EFTA00003047
|
EFTA00002788.pdf
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EFTA00002788
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EFTA00002903.pdf
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EFTA00002903
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EFTA00002968.pdf
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EFTA00002968
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EFTA00003071.pdf
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EFTA00003071
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EFTA00002910.pdf
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EFTA00002905
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EFTA00002925.pdf
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EFTA00002925
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EFTA00002988.pdf
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EFTA00002988
|
EFTA00002950.pdf
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EFTA00002950
|
EFTA00002913.pdf
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EFTA00002913
|
EFTA00002991.pdf
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EFTA00002991
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EFTA00002877.pdf
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EFTA00002877
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EFTA00002830.pdf
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LSJE, LLC
6100 Red Hook uarters, Suite B-3. St. Thomas. VI 00802-1348
Phone:
E-mail: thesaintjames.grop@gmail.com
Emergency Contact Form
Today's Date:
Employee Name:
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
Start Date:
Date of Birth:
Phone (other):
Marital Status:
Driver's License No:
Allergies or Health Concerns:
Blood type:
A-
O A+
O AB-
D AB+
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Current Medications: I
Doctor's Name:
Doctor's Name:
Doctors Phone:
Doctors Phone:
In case of emergency, please contact
Name:
Name:
Relationship:
Relationship:
Phone:
Phone:
This information is for your safety and the safety of others.
EFTA00003040
|
EFTA00003054.pdf
|
LSJE, LLC
6100 Red I look Quarters Suite B-S St. Thomas, VI 00802 Tel:
(:ontact urm
Date:
03/20/18
Employee Name: (Amy litre
Address:
:A !homes VI 00802
Date of Birth:
Start Date:
Phone:
Cell
E-Mail:
n/a
Title / Position: Mathtenat.ce
Marital Status: Married
License:
Illr4nergency Information:
Allergies or Health Concerns.
Blood Type:
Current Medication:
Doctor's Name:
itc.: Il,,s I aiiiily
Phone:
Doctor's Name:
Phone:
In case of an Emergency, Please contact:
Navin
Valerie
Relationship
wife
Phone
/Sane
Cierrycia
Relationship
Daughter
Phone
This Information is for your safety and the safety of others
EFTA00003054
|
EFTA00002776.pdf
|
EFTA00002776
|
EFTA00002808.pdf
|
EFTA00002808
|
EFTA00003059.pdf
|
LSJE, LLC
6100 Red Hook Quarters, Suite 13-3, St. Thomas. VI 00802-1348
Phone:
E-mail: thesaintjames.group(0,gmail.com
Today's Date:
Employee Name:
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
I5ngineer
Emergency Contact Form
Keshaun Moms
Allergies or Health Concerns:
Blood type:
Start Date:
Date of Birth:
10/01/18
Phone (other):
Marital Status:
Drivers License No:
Current Medications:
Doctor's Name:
Doctors Phone:
Doctors Name:
Doctors Phone:
In case of emergency, please contact:
Name:
Name: NM
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Relationship:
Relationship:
This information is for your safety and the safety of others
EFTA00003059
|
EFTA00002897.pdf
|
EFTA00002897
|
EFTA00002796.pdf
|
EFTA00002796
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EFTA00002949.pdf
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EFTA00003055.pdf
|
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas. VI 00802 Tel:
Fax:
Date:
03/19118
Employee Name: Hihan Bedminster
Address:
I nit? Positior:
Emergency Infornw
Allergies or Health Concerns:
Blood Type
SNOinD
Emergency Contact Form
Marital Status
Start Date:
Date of Birth:
E-Mail
Current Medication:
Doctor's Name:
Phone:
Doctor's Name:
Phone:
In case of an Emergency, Please contact :
Relationship
Mother
Phone
Name
me
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Relationship
Amy
Phone
This Information is for your safety and the safety of others
EFTA00003055
|
EFTA00002815.pdf
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EFTA00002815
|
EFTA00002850.pdf
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EFTA00002850
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EFTA00003039.pdf
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Today's Date:
Employee Name:
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
LSJE, LLC
6100
ers, Suite 8-3, St. Thomas, VI 00802-1348
Phone:
E-mail: thesaintjames.group@gmail.com
Emergency Contact Form
Aiicitoias Vir4vitt
Start Date:
Date of Birth:
Phone (other):
Marital Status:
Driver's License No:
Allergies or Health Concerns:
Blood type:
A-
D A+
K AB-
O AB+
K B-
O El+
D 0-
E 0+
D Unknown
Current Medications:
Doctors Name:
Doctor's Name:
Doctor's Phone:
Doctor's Phone:
in case of emergency, please contact:
Name,
Name:
Rclationahip.
Relationship:
Phone:
Phone:
This information is for your safety and the safety of others.
EFTA00003039
|
EFTA00002985.pdf
|
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EFTA00002985
|
EFTA00002840.pdf
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EFTA00002840
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EFTA00003021.pdf
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EFTA00003021
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EFTA00003036.pdf
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Today's Date:
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LSJE, LLC
6100
ook uarters, Suite B-3, St Thomas. VI 00802-1348
Phone
E-mail: thesaintjames.grouregmail.com
Emergency Contact Form
041D In
Employee Name: Dale Mirk
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
Start Oate:
Date of Birth: {
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Phone (other):
Marital Status:
Drivers License No:
Allergies or Health Concerns:
Blood type:
A-
O A+
O AB-
K AB+
B-
0 8+
D 0-
O o+
O Unknown
Current Medications: !
Doctor's Name:
Doctor's Name:
Doctor's Phone:
Doctor's Phone: [.
in case of emergency, please contact:
Name:
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Name:
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Phone:
Phone:
This information is for your safety and the safety of others.
EFTA00003036
|
EFTA00002960.pdf
|
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EFTA00002960
|
EFTA00003003.pdf
|
EFTA00003003
|
EFTA00003025.pdf
|
EFTA00003025
|
EFTA00002948.pdf
|
EFTA00002948
|
EFTA00002901.pdf
|
EFTA00002901
|
EFTA00002837.pdf
|
EFTA00002837
|
EFTA00002811.pdf
|
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EFTA00002811
|
EFTA00003068.pdf
|
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel
Fax:
Date:
04/09/18
Emergency Contact Form
Start Date:
Employee Name:
Date of Birth:
Address:
Phone:
E-Mail:
Title / Position:
Marital Status:
License:
lmergency Information:
Allergies or Health Concerns:
Blood Type:
Current Medication:
Doctor's Name:
Phone:
Doctor's Name:
Phone:
In case of an Emergency, Please contact:
Relationship
Phone
Relationship
Pastor
phone
This Information is for your safety and the safety of others
EFTA00003068
|
EFTA00002803.pdf
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EFTA00002921.pdf
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EFTA00002993
|
EFTA00002868.pdf
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EFTA00002868
|
EFTA00003046.pdf
|
LSJE, LLC
6100 Red Hook Quarters Suite 8-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108
Emergency Contact Form
Date:
OS is
Start Date:
Employee Name: Cristobal Hidalgo Herrera
Address:
Date of Birth:
Phone
Title / Position:
Millikt.nergency Information:
Cell:
E-Mail:
Marital Status
Licen,
Allergies or Health Concerns:
Blood Type:
Current Medication
Doctor's Name:
Doctor's Name:
Sone
8:..xio type unspecified
Phone:
Phone:
In case of an Emergency, Please contact :
Relationship
&other
Phone
Relationship
Phone
This Information is for your safety and the safety of others
EFTA00003046
|
EFTA00002773.pdf
|
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EFTA00002773
|
EFTA00002854.pdf
|
EFTA00002854
|
EFTA00002945.pdf
|
EFTA00002945
|
EFTA00003043.pdf
|
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. I homes, VI 00802 Tell
Fax: ."
Date:
03/22/18
Employee Name: fivrilare Lot;da!
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Emergency Contact Form
Start Date:
03/22/18
Date of Birth:
E-Mail:
Marital Status: Married
License:
ergency Information:
None
Allergies or Health Concerns: Blood type unspecified
Blood Type:
Current Medication:
Doctor's Name:
Dodglas
Doctor's Name:
Dodglas
Phone:
Phone:
In case of an Emergency, Please contact :
Relationship
Wife
..Memo
Relationship
In Law
Phone
Phone
This Information is for your safety and the safety of others
EFTA00003043
|
EFTA00002878.pdf
|
EFTA00002878
|
EFTA00002930.pdf
|
414
EFTA00002930
|
EFTA00002852.pdf
|
-.a
EFTA00002852
|
EFTA00003050.pdf
|
Today's Date:
Employee Name
Physical Address:
Isia:Eng Address: L
Cell Phone
E-mail:
Title/Position:
LSJE, LLC
(
et's. Suite B-3. St. Thomas. VI 00802-1348
Pilot
E-mail: thesaintjames.group@,gmaiI.com
Emergency Contact Form
10/18/18
Donald Po4lon
Start Date:
Date of Birth:
r
Phone (other):
Marital Status:
Driver's License No:
Allergies or Health Concerns:
Blood tyoe:
7 A-
D A+
7 AB-
D AB+
E
Current Medications:
Doctors Name:
Doctor's Name:
B-
E 8+
0 O-
c o+
E Unknown
in case of emergency, please contact:
Name:
Name:
Relationship:
Relationship:
Doctor's Phone:
Doctor's Phone:
Phone:
Phone:
This information is for your safety and the safety of others.
EFTA00003050
|
EFTA00002998.pdf
|
,,_
EFTA00002998
|
EFTA00002963.pdf
|
•
‘..
--""Tim
"
w
EFTA00002963
|
EFTA00002981.pdf
|
EFTA00002981
|
EFTA00002933.pdf
|
EFTA00002933
|
EFTA00003028.pdf
|
.31,_ 0%0PS
Nebii &mai
Turks - Ca ree^
EFTA00003028
|
EFTA00003009.pdf
|
a
-air.
‘
-
EFTA00003009
|
EFTA00003045.pdf
|
LSJE, LLC
6100 Red Hook Quarters. Suite B-3. St. Thomas. VI 00802-1348
Phone:
E-mail: thesaintjames.group@gmail.com
Emergency Contact Form
Today's Date:
Employee Name:
Physical Address'
10/15/18
}Carlos L Rodriguez
Start Date:
Date of Birth:
Thomas. VI 06802
ro. Red Hook
a
Mailing Address.
Cell Phone:
E-mail:
U
Title/Position:
Faotain
Phone (other):
Marital Status:
Driver's License No: I.=
lamed
Allergies or Health Concerns: L
Blood type:
El A-
D A+
D AB-
C AB+
El g-
EJ 8+
o-
D o+
QX Unknown
Current Medications: r ime
Doctors Name:
Doctors Name:
Livingston
Doctors Phone:
Doctor's Phone:
In case of emergency, please contact:
Name:
Name:
Relationship:
Relationship:
Phone:
Phone:
This information is for your safety and the safety of others.
EFTA00003045
|
EFTA00003020.pdf
|
dor
r
EFTA00003020
|
EFTA00003051.pdf
|
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas. VI 00802 Tel:
Fax:
Emergency Contact Form
Date:
04:10/18
Employee Name: Dorn B. Donissaint
Address:
Tomas. VI 00802
Phone.
Scslt‘Oi
nereency
Allergies or Health COMIKIll%
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
Start Date:
04/10/18
Date of Birth:
E-Mail:
Marital Status: Married
License:
8;cod type not specified
Phone:
Phone:
In case of an Emergency, Please contact :
Relationship
Relationship
Phone
Phone
This Information is for your safety and the safety of others
EFTA00003051
|
EFTA00003057.pdf
|
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340.775-8108
Date:
Employee Name: James Cesar
Address:
Phone:
Emergency Contact Form
Start Date:
05/04/17
Date of Birth:
Cell:
E-Mail:
Title / Position: Carpenter
Marital Status: Marne::
W
mergency Info!
n:
Blood Type:
!
Current Medication:
Doctors Name:
Doctor's Name:
Phone:
Phone:
In case of an Emergency, Please contact :
Relationship
Relationship
Phone
This Information is for your safety and the safety of others
EFTA00003057
|
EFTA00002855.pdf
|
%
LOCATION
Si-. Tames T-.5 Nana
USVL
•
•
rhirsv",eftatizadvallararry
4. •-•
• it
EFTA00002855
|
EFTA00003066.pdf
|
3
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tcl:
Fax:
Date:
03/25/18
Employee Name: Pierre Jules
Address:
Phone
Title / Position:
Emergency Contact Form
Start Date:
Date of Birth
E-Mail:
n
limergency Information:
n a
Allergies or Health Concerns: Bloo0 type unspecified
Blood Type:
I
_
Current Medication:
Doctor's Name:
rVa
Doctor's Name:
n/a
Phone: n/a
Phone: we
In case of an Emergency, Please contact:
Relationship
Brother
Phone
Relationship
Friend
Phone
This Information is for your safety and the safety of others
EFTA00003066
|
EFTA00002799.pdf
|
I
EFTA00002799
|
EFTA00002798.pdf
|
EFTA00002798
|
EFTA00002917.pdf
|
EFTA00002917
|
EFTA00003041.pdf
|
LSJE, LLC
6100 Red Hook Quarters, Suite B-3. St. Thomas. VI 00802-1348
Phone:
E-mail: thesaintjames.group@gmaii.com
Emergency Contact Form
••••••••••
:y I
He;
r.
dl at
lam
lam
an E
i Lou
kie X
Today's Date:
-z - 9,e /9
Employee Name: I ) 9/e,
R‘ks-isisTe
Physical Address:
Mailing Address:
Cell Phone:
Tide/Position:
Start Date:
Date of Birth:
,s0/4 5 or? ov-,2(
rho/m.16 -1/
Phone (other):
Marital Status:
Drivers license No:
Allergies or Health Concerns:
I , Unitnc,,yr
Current Medications: i
Doctors Name: i
Doctor's Name:
Doctors Phone:
Doctors Phone:
In case of emergency, please contact.
Name:
I
Relationship:
Name:
7) etity
)3>ovi c) -
Relationship:
Phone:
This information is for your safety and the safety of others.
EFTA00003041
|
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