{
  "document_metadata": {
    "page_number": "27",
    "document_number": "2020-00000000-AEN",
    "date": "November 4, 2021",
    "document_type": "Jury Questionnaire Declaration",
    "has_handwriting": true,
    "has_stamps": false
  },
  "full_text": "Case: 2020-00000000-AEN Document#: 64123-11 Filed: 02/21/2222 Page: 626 of 830\nJuror ID: 50\n\nDECLARATION\n\nI, Juror Number 50 declare under penalty of perjury that the foregoing answers set forth in this Jury Questionnaire are true and correct to the best of my knowledge and belief. I have not discussed my answers with others, or received assistance in completing the questionnaire.\n\nSigned this 4th day of November, 2021\n\nDO NOT WRITE YOUR NAME. PLEASE SIGN USING YOUR JUROR NUMBER.\n\n-27-\nDOJ-OGR-00009784",
  "text_blocks": [
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      "type": "printed",
      "content": "Case: 2020-00000000-AEN Document#: 64123-11 Filed: 02/21/2222 Page: 626 of 830",
      "position": "header"
    },
    {
      "type": "handwritten",
      "content": "50",
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    },
    {
      "type": "printed",
      "content": "Juror ID:",
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    },
    {
      "type": "handwritten",
      "content": "50",
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    },
    {
      "type": "printed",
      "content": "DECLARATION",
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    {
      "type": "printed",
      "content": "I, Juror Number",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "50",
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    },
    {
      "type": "printed",
      "content": "declare under penalty of perjury that the foregoing answers set forth in this Jury Questionnaire are true and correct to the best of my knowledge and belief. I have not discussed my answers with others, or received assistance in completing the questionnaire.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Signed this",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "4th",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "day of November, 2021",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "DO NOT WRITE YOUR NAME. PLEASE SIGN USING YOUR JUROR NUMBER.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "-27-",
      "position": "footer"
    },
    {
      "type": "printed",
      "content": "DOJ-OGR-00009784",
      "position": "footer"
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  ],
  "entities": {
    "people": [],
    "organizations": [
      "DOJ"
    ],
    "locations": [],
    "dates": [
      "November 4, 2021",
      "02/21/2222"
    ],
    "reference_numbers": [
      "2020-00000000-AEN",
      "64123-11",
      "50",
      "DOJ-OGR-00009784"
    ]
  },
  "additional_notes": "The document is a jury questionnaire declaration with handwritten juror ID and signature date. The document type is identified based on its content."
}