{ "document_metadata": { "page_number": "31 of 35", "document_number": "367", "date": "10/22/21", "document_type": "DECLARATION", "has_handwriting": false, "has_stamps": false }, "full_text": "Case 1:20-cr-00330-PAE Document 367 Filed 10/22/21 Page 31 of 35 Juror ID: ____________ DECLARATION I, ____________ (juror number) 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. Signed this ____ day of November, 2021 -31- DOJ-OGR-00005353", "text_blocks": [ { "type": "printed", "content": "Case 1:20-cr-00330-PAE Document 367 Filed 10/22/21 Page 31 of 35", "position": "header" }, { "type": "printed", "content": "Juror ID: ____________", "position": "top" }, { "type": "printed", "content": "DECLARATION", "position": "top" }, { "type": "printed", "content": "I, ____________ (juror number) 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 ____ day of November, 2021", "position": "middle" }, { "type": "printed", "content": "-31-", "position": "footer" }, { "type": "printed", "content": "DOJ-OGR-00005353", "position": "footer" } ], "entities": { "people": [], "organizations": [ "DOJ" ], "locations": [], "dates": [ "10/22/21", "November, 2021" ], "reference_numbers": [ "1:20-cr-00330-PAE", "367", "DOJ-OGR-00005353" ] }, "additional_notes": "The document appears to be a juror declaration form with blank spaces for juror ID, name, juror number, and date. The document is from a court case with the reference number 1:20-cr-00330-PAE." }