{
  "document_metadata": {
    "page_number": "11",
    "document_number": "2020-00000000",
    "date": null,
    "document_type": "Jury Questionnaire",
    "has_handwriting": true,
    "has_stamps": false
  },
  "full_text": "Case: 2020-00000000 Document: 6423-11 Filed: 0032141222 Page: 01 of 030\nJunior ID: 50\n17a. If yes, please explain:\n\n\n\nPRIOR JURY SERVICE\n18. Have you ever served as a juror in a trial in any court? Yes No\n19. Have you ever at any time served as a member of a grand jury, whether in federal, state, county, or city court? Yes No\n\nEXPERIENCE AS A WITNESS, DEFENDANT, OR CRIME VICTIM\n20. Have you, or has any relative or close friend, ever participated in a state or federal court case, whether criminal or civil, as a witness, plaintiff, or defendant? Yes (self) Yes (friend or family member) No\n20a. If yes, is there anything about that experience that would prevent you from acting as a fair and impartial juror in this case? Yes No\n20b. If yes to 20a, please explain:\n\n\n\n21. Have you or any relative or close friend ever been involved or appeared as a witness in any investigation by a federal or state grand jury or by a congressional or state legislative committee, licensing authority, or governmental agency, or been questioned in any matter by any federal, state, or local law enforcement agency? Yes (self) Yes (friend or family member) No\n-11-\nDOJ-OGR-00009768",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Case: 2020-00000000 Document: 6423-11 Filed: 0032141222 Page: 01 of 030",
      "position": "header"
    },
    {
      "type": "handwritten",
      "content": "50",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Junior ID:",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "17a. If yes, please explain:",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "PRIOR JURY SERVICE",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "18. Have you ever served as a juror in a trial in any court? Yes No",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "X",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "19. Have you ever at any time served as a member of a grand jury, whether in federal, state, county, or city court? Yes No",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "X",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "EXPERIENCE AS A WITNESS, DEFENDANT, OR CRIME VICTIM",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "20. Have you, or has any relative or close friend, ever participated in a state or federal court case, whether criminal or civil, as a witness, plaintiff, or defendant? Yes (self) Yes (friend or family member) No",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "X",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "20a. If yes, is there anything about that experience that would prevent you from acting as a fair and impartial juror in this case? Yes No",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "20b. If yes to 20a, please explain:",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "21. Have you or any relative or close friend ever been involved or appeared as a witness in any investigation by a federal or state grand jury or by a congressional or state legislative committee, licensing authority, or governmental agency, or been questioned in any matter by any federal, state, or local law enforcement agency? Yes (self) Yes (friend or family member) No",
      "position": "bottom"
    },
    {
      "type": "handwritten",
      "content": "X",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "-11-",
      "position": "footer"
    },
    {
      "type": "printed",
      "content": "DOJ-OGR-00009768",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [],
    "organizations": [
      "DOJ"
    ],
    "locations": [],
    "dates": [],
    "reference_numbers": [
      "2020-00000000",
      "6423-11",
      "0032141222",
      "DOJ-OGR-00009768"
    ]
  },
  "additional_notes": "The document appears to be a jury questionnaire with some handwritten marks indicating 'No' to several questions. The junior ID is handwritten as '50'. The document is page 11 of a larger document."
}