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EFTA00003069.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:
09/10/18
Start Date:
08/26/2018
Employee Name: Stephanie Remington
Address:
Phone:
Title / Position: Asst to Manager
Slergency Information:
Allergies or Health Concerns:
Blood Type:
Current Medication:
18-1-3 Estate Smith Bey 00002
Cell:
E-Mail:
Marital Statu,, single
License:
Doctor's Name:
Island Health 8, Wellness Center
Phone
Doctor's Name:
In case of an Emergency, Please contact:
Relationship
Relationship
Phone:
Enema
''hone
l'none
This Information is for your safety and the safety of others
EFTA00003069
|
EFTA00003022.pdf | EFTA00003022
|
EFTA00003100.pdf | EFTA00003100
|
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
|
EFTA00003089.pdf | *VC
4
EFTA00003089
|
EFTA00003039.pdf | N•R
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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
|
EFTA00003027.pdf | Cr.:E
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EFTA00003027
|
EFTA00003071.pdf | EFTA00003071
|
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
|
EFTA00003081.pdf | EP
EFTA00003081
|
EFTA00003131.pdf | EFTA00003131
|
EFTA00003122.pdf | 1
EFTA00003122
|
EFTA00003121.pdf | EFTA00003121
|
EFTA00003079.pdf | EFTA00003079
|
EFTA00003099.pdf | tf.
EFTA00003099
|
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!
•
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
|
EFTA00003064.pdf | L
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
3
Date:
03 19:8
Employee Name: Pd rick L. Cena
Address:
Phone
Title / Position: Captain
i
mergency Information:
Allergies or Health Concerns:
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
Emergency Contact Form
Fax
Start Date:
02t05/18
S.€ x 1 s
vi 00802
Date of Birth:
Cell:
No blood type spectfied
In case of an Emergency, Please contact :
Name
ante
E-Mail:
Marital Status: Divorce
License:
Relationship
Phone:
Phone:
Father/Stepmother
Phone
Relationship
Fnend
Phone
This Information is for your safety and the safety of others
EFTA00003064
|
EFTA00003117.pdf | 5ff raPPOATCH encore IEFME
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EFTA00003117
|
EFTA00003048.pdf | LSJE, LLC
6100 Red [look Quarters Suite B-3 St. Thomas, VI 00802 Tel:
ax:
Date:
)4'10/18
Employee Name: Deice Gusneme
Address:
Phone:
le / Position-
..—
L:41.
ZIF.mergeocy Informal it
Allergies or Health Concerns:
Blood Type:
Current Medication:
Emergency Contact Form
Start Date:
Date of Birth:!
E-Mail:
Marital Status: Married
License:
Blood type not specified
Doctor's Name:
Pho►re:
Doctor's Name:
Phone:
In case of an Emergency, Please contact :
Relationship
Sister
Phone
Relationship
Phone
This Information is for your safety and the safety of others
EFTA00003048
|
EFTA00003106.pdf | EFTA00003106
|
EFTA00003088.pdf | ;at
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EFTA00003088
|
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
|
EFTA00003002.pdf | -mgmlie
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EFTA00003002
|
EFTA00003070.pdf | NO
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Today's Date:
Employee Name:
Physical Address,
Mailing Address:
Cell Phone:
E-mail:
LSJE, LLC
6I
ok
uarters. Suite 13-3, St. Thomas, VI 00802-1348
Phi
E-mail: thesaintjamcs.group(a)gmail.com
I mergency Contact Form
01/11/18
Sylvester Gaillard
fide/Position:
Kupenesor
Allergies or Health Concerns: None
riabetic Medications
Current Medications:
Doctors Name:
Doctor's Name:
Dr. Alah
In case of emergency, please contact:
Name:
Name:
St Thomas, V1
Relationship:
Relationship:
Stan Date:
Date of Birth:
StThomas, VI
IMOther
Phone (other):
Marital Status:
Driver's License No:
Doctor's Phone:
Doctor's Phone:
Single
Phone:
Phone:
This information is for your safety and the safety of others
0 Unknown
11
EFTA00003070
|
EFTA00003015.pdf | S.
EFTA00003015
|
EFTA00003136.pdf | Rao
TURF
EFTA00003136
|
EFTA00003141.pdf | EFTA00003141
|
EFTA00003014.pdf | EFTA00003014
|
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
-
7
Relationship:
Relationship:
This information is for your safety and the safety of others
EFTA00003059
|
EFTA00003108.pdf | EFTA00003108
|
EFTA00003049.pdf | LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108
'H"
Emergency Contact Form
Date:
06/04/18
Employee Name: Danny Etienne
Address:
'tvititE
Title / Posit.:'i.: Ma
•
Start Date:
Date of Birth:
C tit
E-Mail:
Marital Status: Single
License:
Emergency Information:
Allergies or Health Concerns:
Blood Type: L
Current Medication:
Doctor's Name:
Dodglas
Phone:
Doctor's Name:
Dodglas
Phone:
In case of an Emergency, Please contact:
Name Maria
Relationship
ame
Relationship
Etienne
Phone
Girlfriend
Phone
This Information is for your safety and the safety of others
EFTA00003049
|
EFTA00003019.pdf | EFTA00003019
|
EFTA00003009.pdf | a
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EFTA00003009
|
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EFTA00003116
|
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
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Today's Date:
-z - 9,e /9
Employee Name: I ) 9/e,
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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
|
EFTA00003044.pdf | LSJE, LLC
6100
•
1 sok
uarters, Suite B-3, St. Thomas. VI 00802-1348
Phone:
E-mail: thesaintjames.group@gmail.com
Emergency Contact Form
Today's Date:
110/17/18
Employee Name: Brian Bates
Start Date:
Date of Birth:
Physic3! Address:
Mailing Address:
Cell Plior
E-mail.
Title/Position:
IGOntrader
Phone (other):
Marital Status:
Driver's License No:
Single
IM
Allergies or Health Concerns:
Blood type:
El A-
O A+
lE AB-
El AB+
El 8-
lit
O O.
El O+
Unknown
Current Medications: h ne
Doctors Name:
Doctor's Name:
Jamie Reed
None
Doctors Phone:
Doctor's Phone:
In case of emergency, please contact:
Name:
Name:
Relationship:
Relationship:
Girlfriend
Phone:
Phone:
This information is for your safety and the safety of others.
EFTA00003044
|
EFTA00003112.pdf | EFTA00003112
|
EFTA00003132.pdf | EFTA00003132
|
EFTA00003094.pdf | EFTA00003094
|
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
|
EFTA00003145.pdf | )_~.
EFTA00003145
|
EFTA00003012.pdf | 4011!
EFTA00003012
|
EFTA00003125.pdf | EFTA00003125
|
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|
EFTA00003083.pdf | a
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EFTA00003083
|
EFTA00003031.pdf | Service Tag: 8G LM0Q2
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Service Code: 18418016810
EFTA00003031
|
EFTA00003098.pdf | EFTA00003098
|
EFTA00003029.pdf | I
EFTA00003029
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EFTA00003026.pdf | t• .9
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EFTA00003038.pdf | LSJE, LLC
6100 Red Hook uarters, Suite B-3, St. Thomas. VI 00802-1348
Phone:
E-mail: thesaintjames.group@gmail.com
Emergency Contact Form
Today's Date:
Li_ _ 14
— 7_0 17
Employee Name: I
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Beiyhrt.S.6244
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
Allergies or Health Concern I NI
Start Date:
Date of Birth:
3 - `1,5 -2-o lc/
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Phone (other):
Marital Status:
Driver's License No:
Current Medications:
4
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Doctors Name:
Doctors Phone.
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in case of emergency, please contact:
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Phone:
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This information is for your safety and the safety of others.
EFTA00003038
|
EFTA00003152.pdf | EFTA00003152
|
EFTA00003010.pdf | EFTA00003010
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EFTA00003157.pdf | sumeni
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EFTA00003157
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EFTA00003129.pdf | -
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EFTA00003129
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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-
Title / Position: H
emergency Information:
Allergies or Health Concerns:
Blood Type:
Current Medication:
Doctor's Name:
Coorbin
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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
|
EFTA00003062.pdf | LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel:
ay.
Emergency Contact Form
Date:
04 09 18
Start Date:
Employee Name: Onel Pierresaint
Address:
Date of Birth:
Phone:
Cell:
E-Mail:
Title / Position:
Marital Status: Married
License:
)nergency Information:
Allergies or Health Concerns:
Blood type uw.pe
Blood Type:
Current Medication:
Doctor's Name:
Rosa' Josemp
Phone:
Doctor's Name:
Phone:
In case of an Emergency, Please contact :
Relationship
SI'
Relationship
Wife
Phone
Friend
Phone
This Information is for your safety and the safety of others
EFTA00003062
|
EFTA00003119.pdf | EFTA00003119
|
EFTA00003133.pdf | F
EFTA00003133
|
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+
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D o+
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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
|
EFTA00003155.pdf | 1001
EFTA00003155
|
EFTA00003113.pdf | S CLEM
F.PLACE
TOOLS!!
EFTA00003113
|
EFTA00003034.pdf | LSJE, LLC
6100 Red Hook Quarters, Suite B-3, St. Thomas. VI 00802-1348
Phone:
E-mail: thesaintjames.group@email.com
Emergency Contact Form
Today's Date:
Employee Name:
Physical Address:
Mailing Address:
Cell Phone:
E-mail:
Title/Position:
Start Date:
Date of Birth:
[IStimn
We\
6.11‘tv.tss 0,..b
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Phone (other):
Marital Status:
Drivers License No:
Allergies or Health Concerns:
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A-
Di A+
D AB-
D AB+
O B-
B+
D o-
Current Medications:
Doctor's Name:
Doctor's Name:
0 O+
0 Unknown
N/A
In case of emergency, please contact:
Name:
Name:
Relationship:
Relationship:
Doctors Phone:
Doctors Phone:
J
Phone:
Phone:
This information is for your safety and the safety of others
EFTA00003034
|
EFTA00003053.pdf | LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel
ax:
Date:
03/19/18
Employee Name: GaSJ Leatham
Address:
Phone:
Title / Position: Landscapi"g
Emergency Contact Form
Start Date:
Date of Birth:
E-Mail:
Marital Status: Single
License:
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4Thergency Informatioi,
Allergies or Health Concerns:
Blood Type:
Current Medication:
Doctor's Name:
Doctor's Name:
Phone:
Phone:
In case of an Emergency, Please contact:
Name
),me
Relationship
Girlfriend
Phone
Relationship
Sister
Phone
This Information is for your safety and the safety of others
EFTA00003053
|
EFTA00003140.pdf | •
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EFTA00003140
|
EFTA00002552.pdf | EFTA00002552
|
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
|
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EFTA00003115
|
EFTA00002103.pdf | EFTA00002103
|
EFTA00002724.pdf | EFTA00002724
|
EFTA00002450.pdf | EFTA00002450
|
EFTA00002675.pdf | EFTA00002675
|
EFTA00002403.pdf | EFTA00002403
|
EFTA00002990.pdf | •
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|
EFTA00002449.pdf | .
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EFTA00002241.pdf | J
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|
EFTA00002278.pdf | EFTA00002278
|
EFTA00002415.pdf | p.
EFTA00002415
|
EFTA00002405.pdf | EFTA00002405
|
EFTA00002509.pdf | 4
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EFTA00002327.pdf | Work Smarter
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EFTA00002015.pdf | I
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EFTA00002151.pdf | EFTA00002151
|
EFTA00002020.pdf | EFTA00002020
|
EFTA00002170.pdf | EFTA00002170
|
EFTA00002081.pdf | EFTA00002081
|
EFTA00002676.pdf | EFTA00002676
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EFTA00002907.pdf | t)i\orcc k nu
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EFTA00002907
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EFTA00002524.pdf | EFTA00002524
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EFTA00002884.pdf | EFTA00002884
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