LSJE, LLC

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EFTA Disclosure

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It Tat O p T O CJ LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 3 Date: 04/11/12 Employee Name: Randy Amparo Address: Phone: Title / Position: Boat Captain l mergency Information: Allergies or Health Concerns: Blood Type: Current Medication: Doctor's Name: Doctor's Name: NA Emergency Contact Form Cell: In case of an Emergency, Please contact : Name Santo Amparo Relationship _,Name Reyna Amparo Relationship Start Date: Date of Birth: E-Mail: Marital Status: Single License: Father Mother Phone: Phone: Phone Phone This Information is for your safety and the safety of others EFTA01304187

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FaxFax: 340-775-8108

Phone340-775-8100

Phone340-775-8108

Related Documents (6)

Dept. of JusticeOtherUnknown

EFTA Document EFTA01304187

It Tat O p T O CJ LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 3 Date: 04/11/12 Employee Name: Randy Amparo Address: Phone: Title / Position: Boat Captain l mergency Information: Allergies or Health Concerns: Blood Type: Current Medication: Doctor's Name: Doctor's Name: NA Emergency Contact Form Cell: In case of an Emergency, Please contact : Name Santo Amparo Relationship _,Name Reyna Amparo Relationship Start

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Dept. of JusticeDec 19, 2025

LSJE, LLC [EFTA00003067]

LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: NI 1/12 Employee Name: Randy Amparo Address: Phone: Title / Position: Boat Captain imergency Information: Allergies or Health Concerns: Blood Type: Emergency Contact Form Start Date: Date of Birth: Marital Status: Single License...

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OtherUnknown

sir _

DOJ EFTA Data Set 10 document EFTA01342068

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Dept. of JusticeOtherUnknown

EFTA Document EFTA01342068

sir _ Tor LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 3 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: L

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OtherUnknown

DOJ EFTA Data Set 10 document EFTA01342065

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OtherUnknown