{
  "document_metadata": {
    "page_number": "4",
    "document_number": "DOJ-OGR-00023877",
    "date": "2/01/08",
    "document_type": "Employment Form",
    "has_handwriting": true,
    "has_stamps": false
  },
  "full_text": "3. A. Present Residential Address: ____________________________________________________\nB. Length of time at this address: ________________________ 11 months\nC. Home telephone number: _____________________________________________________\nD. List all residential addresses (including street and number, city and state) for the last five (5) years and dates you resided at each address:\nAddresses Dates\n____________________________________________________________________\n____________________________________________________________________\n____________________________________________________________________\n4. A. Present Place of Employment: Law Office of Marc Fernich\nI. Name of immediate supervisor: Marsha Fernich / Jonathan Savella\nII. Employer's business address: 810 Seventh Avenue, Ste 620\nNew York, NY 10019\nIII. Employer's telephone number: 212-446-___________\nIIII. Dates of Employment: 7/2019 - Present\nB. List all previous employers for the past five (5) years, including employers' addresses and dates of your employment with each employer:\nEMPLOYER ADDRESS DATES OF EMPLOYMENT\n____________________________________________________________________\n____________________________________________________________________\n____________________________________________________________________\n5. A. List all schools, universities, or other educational institutions attended from grade\nPage 4 of 10 Revised 2/01/08\nDOJ-OGR-00023877",
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    {
      "type": "printed",
      "content": "3. A. Present Residential Address: ____________________________________________________",
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    },
    {
      "type": "handwritten",
      "content": "11 months",
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    },
    {
      "type": "printed",
      "content": "B. Length of time at this address: ________________________",
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    },
    {
      "type": "printed",
      "content": "C. Home telephone number: _____________________________________________________",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "D. List all residential addresses (including street and number, city and state) for the last five (5) years and dates you resided at each address:",
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    },
    {
      "type": "printed",
      "content": "Addresses Dates",
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    {
      "type": "printed",
      "content": "4. A. Present Place of Employment: Law Office of Marc Fernich",
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    {
      "type": "handwritten",
      "content": "Law Office of Marc Fernich",
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    },
    {
      "type": "printed",
      "content": "I. Name of immediate supervisor: Marsha Fernich / Jonathan Savella",
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    },
    {
      "type": "handwritten",
      "content": "Marsha Fernich / Jonathan Savella",
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    },
    {
      "type": "printed",
      "content": "II. Employer's business address: 810 Seventh Avenue, Ste 620",
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    },
    {
      "type": "handwritten",
      "content": "810 Seventh Avenue, Ste 620",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "New York, NY 10019",
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    },
    {
      "type": "handwritten",
      "content": "New York, NY 10019",
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    },
    {
      "type": "printed",
      "content": "III. Employer's telephone number: 212-446-___________",
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    },
    {
      "type": "handwritten",
      "content": "212-446-",
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    },
    {
      "type": "printed",
      "content": "IIII. Dates of Employment: 7/2019 - Present",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "7/2019 - Present",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "B. List all previous employers for the past five (5) years, including employers' addresses and dates of your employment with each employer:",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "EMPLOYER ADDRESS DATES OF EMPLOYMENT",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "5. A. List all schools, universities, or other educational institutions attended from grade",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "Page 4 of 10",
      "position": "footer"
    },
    {
      "type": "printed",
      "content": "Revised 2/01/08",
      "position": "footer"
    },
    {
      "type": "printed",
      "content": "DOJ-OGR-00023877",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "Marsha Fernich",
      "Jonathan Savella",
      "Marc Fernich"
    ],
    "organizations": [
      "Law Office of Marc Fernich"
    ],
    "locations": [
      "New York",
      "NY",
      "810 Seventh Avenue, Ste 620"
    ],
    "dates": [
      "7/2019",
      "2/01/08"
    ],
    "reference_numbers": [
      "DOJ-OGR-00023877"
    ]
  },
  "additional_notes": "The document contains redactions and handwritten information. The page number is 4 of 10."
}