{
  "document_metadata": {
    "page_number": "25 of 29",
    "document_number": "638",
    "date": "03/09/22",
    "document_type": "Jury Questionnaire Declaration",
    "has_handwriting": true,
    "has_stamps": false
  },
  "full_text": "Case 1:20-cr-00330-PAE Document 638 Filed 03/09/22 Page 25 of 29\nJuror ID: 50\nDECLARATION\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.\nSigned this 4th day of November, 2021\nDO NOT WRITE YOUR NAME. PLEASE SIGN USING YOUR JUROR NUMBER.\n-27-\nDOJ-OGR-00009686",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Case 1:20-cr-00330-PAE Document 638 Filed 03/09/22 Page 25 of 29",
      "position": "header"
    },
    {
      "type": "handwritten",
      "content": "50",
      "position": "margin"
    },
    {
      "type": "printed",
      "content": "Juror ID:",
      "position": "top"
    },
    {
      "type": "handwritten",
      "content": "50",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "DECLARATION",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "I, Juror Number",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "50",
      "position": "middle"
    },
    {
      "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": "handwritten",
      "content": "4th",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Signed this",
      "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-00009686",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [],
    "organizations": [
      "DOJ"
    ],
    "locations": [],
    "dates": [
      "03/09/22",
      "November, 2021"
    ],
    "reference_numbers": [
      "1:20-cr-00330-PAE",
      "638",
      "50",
      "DOJ-OGR-00009686"
    ]
  },
  "additional_notes": "The document is a Jury Questionnaire Declaration with handwritten entries for Juror ID and signature date. The document appears to be a standard form used in a court case."
}