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Drake Remington

DOJ EFTA Data Set 10 document EFTA01342069

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DOJ EFTA Data Set 10 document EFTA01342069

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
l ame Drake Remington 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 Employee Name: Stephanie Remington Start Date: 08/26/2018 Address: Date of Birth: Phone: Cell: E-Mail: ■ Title / Position: Asst to Manager Marital Status: Single License: l iergency Information: No allergies Allergies or Health Concerns: Blood Type: Current Medication: Doctor's Name: Doctor's Name: In case of an Emergency, Please contact : Name Patrick Cena Relationship Relationship Phone: Phone: Friend Phone Phone This Information is for your safety and the safety of others EFTA01342069

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FaxFax: 340-775-8108
Phone340-775-8100
Phone340-775-8108

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LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 Emergency Contact Form 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: Bloo...

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l ame Drake Remington 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 Employee Name: Stephanie Remington Start Date: 08/26/2018 Address: Date of Birth: Phone: Cell: E-Mail: ■ Title / Position: Asst to Manager Marital Status: Single License: l iergency Information: No allergies Allergies or Health Concerns: Blood Type: Current Medication: Doctor's Name: Doctor's Name: In case of an E

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ACCOUllt 1 ype:- &(\inlbNCLW Coo. t., Adds Name: IfWg &IOW 10:60.41dP king Meld SOWS , Ate3Ura AtNeifiatt. de Phst Swap laftarekta Shithei him/ Neg. tad pit nia led tea. ein.Q.c. • Uwe baler having DePosit Accomi Asittrge,:. the nr. ulcer Iliktriaz Sharing .id Pthavy PoEcy and the pecaza rocs and ft Number: I Sin. Reg, I Date: Prepared by: Authorized b SSN: ID Type: o: ID No: SSN: ID Type: 5.‘ CONFIDENTIAL SONY_GM_00013475 CONFIDENTIAL EFTA_001241 18 EFTA01269322

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1First Bank Customer Due D...gence for Business - Entities ExtednerAtiiialiS-- I $7;41=-6-- Business or Entity name: Thomas 'Maid Air, LLC DEA Name (lt applicable) Physical Add .: 8203 Lindberg Be, SUMO 33 Si. Thomas, VI 170802 Business Phone: 340-775.2525 2. BusinessrEnto Desert Tyro ol Buelnees. Date F_stablishedr. Type of Entity • or Social Security /amber Social Security Number (If applicable): ramp Address: 6100 Red Hook Duarte( B3 SI. Thomas USV1. 00802 Fax Email

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