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LSJE, LLC [EFTA00003044]
Summary
LSJE, LLC 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):...
This document is from the DOJ EFTA Releases (OCR).
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Extracted Text (OCR)
EFTA DisclosureLSJE, 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 --- Page Break --- 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
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