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6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108Date:
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efta-efta01342055Other

LSJE, LLC

DOJ EFTA Data Set 10 document EFTA01342055

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efta-efta01342055
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DOJ EFTA Data Set 10 document EFTA01342055

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: Fax: Emergency Contact Form Date: 03/20/18 Employee Name: Gerry Titre Address: Date of Birth: Start Date: Phone: Cell: E-Mail: n/a itle / Position: Maintenance Marital Status: License: nergency Information: Allergies or Health Concerns: Blood 1 ype: Current Medication: Doctor's Name: Red Hook Family Practice Phone: Doctor's Name: Phone: z C In case of an Emergency, Please contact : Name Valerie Relationship posolldme Gerrycia Relationship This Information is fo your sarery ana me satety ot others EFTA01342055

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After Five Days Return To: PO Box 309600 St. Thomas, VI 00803 00,001223 MFBPRVO3r1505234600 2 03000X01, GRATITUDE AMERICA, LTD 9100 HAVENSIGHT PORT OF SALE STE 15 16 ST THOMAS VI 00802 1 First Bank STATEMENT OF ACCOUNT STATEMENT DATE 02/28/15 205-COMMERCIAL CHECKING BEGINNING BALANCE DEPOSITS / OTHER CREDITS CHECKSIOTHERDEBITS SERVICE CHARGES ENDING BALANCE NUMBER AMOUNT CREDITED NUMBER AMOUNT DEBITED .00 1 1000.00 0 00 00 1.000 00 CHECKING ACCOUNT TRANSACTIONS DEPOSI

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