Notes
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Contact Info: Monica Harrison
Primary Info: Permission Granted BY CX
SSN: 453-73-9611
US Citizen:Yes
Alien#
Occupation:Care taker
Smoker:No
D.O.B: 12/01/1984
Company Name: Grace Of Mercy
Company Number: 9367186685
# Of Person On Taxes:3
Annual Income:23050
Permission Granted BY CX
Contact Info:Willie Benard Edd
Primary Info: Permission Granted BY CX
SSN: 464-17-4017
US Citizen:Yes
Alien#
Occupation: Warehouse Attendant
Smoker:No
D.O.B: 12/25/1964
Company Name:Fabric Clean Supply
Company Number:2147919289
# Of Person On Taxes:1
Annual Income: 20500
Permission Granted BY CX
Contact Info:Alice Mcclain
Primary Info: Permission Granted BY CX
SSN:
US Citizen:
Alien#
Occupation:
Smoker:No
D.O.B:
Company Name:
Company Number:
# Of Person On Taxes:
Annual Income:
Permission Granted BY CX
Blue Advantage Silver HMO℠ 205 - HMO
Contact Info:Misty Sue Baggett
Primary Info: Permission Granted BY CX
SSN: 415-45-4982
US Citizen:Yes
Alien#
Occupation: unemployed
Smoker:Yes This morning
D.O.B: 11/25/1984
Company Name:Unemployed
Company Number:7315328104
# Of Person On Taxes:1
Annual Income: 15000
Permission Granted BY CX
No email address
Contact Info: Felix Rucker IV
Primary Info: Permission Granted BY CX
SSN: 415-37-3134
US Citizen:Yes
Alien#
Occupation: Handy Man
Smoker:No
D.O.B: 02/24/1966
Company Name: Self Employed
Company Number: 6154335716
# Of Person On Taxes:1
Annual Income: 15000
Permission Granted BY CX
No email address Text Only
Contact Info: Michael D Ervin
Primary Info: Permission Granted BY CX
SSN: 455-51-8636
US Citizen:Yes
Alien#
Occupation: Electrition
Smoker:Yes this morning
D.O.B: 09/09/1980
Company Name:A&m Electrical
Company Number:4809311677
# Of Person On Taxes:1
Annual Income:15000
Permission Granted BY CX
Contact Info:
Primary Info: Permission Granted BY CX
SSN:
US Citizen:Yes
Alien#
Occupation:Unemployed
Smoker:No
D.O.B: 01/28/1991
Company Name: Harrison Manufacturing
Company Number:6015402684
# Of Person On Taxes:1
Annual Income: 15000
Permission Granted BY CX
Contact Info:
Primary Info: Permission Granted BY CX
SSN:
US Citizen:
Alien#
Occupation:
Smoker:
D.O.B:
Company Name:
Company Number:
# Of Person On Taxes:
Annual Income:
Permission Granted BY CX
Contact Info:
Primary Info: Permission Granted BY CX
SSN:
US Citizen:
Alien#
Occupation:
Smoker:
D.O.B:
Company Name:
Company Number:
# Of Person On Taxes:
Annual Income:
Permission Granted BY CX
Contact Info:
Primary Info: Permission Granted BY CX
SSN:
US Citizen:
Alien#
Occupation:
Smoker:
D.O.B:
Company Name:
Company Number:
# Of Person On Taxes:
Annual Income:
Permission Granted BY CX
Contact Info:
Primary Info: Permission Granted BY CX
SSN:
US Citizen:
Alien#
Occupation:
Smoker:
D.O.B:
Company Name:
Company Number:
# Of Person On Taxes:
Annual Income:
Permission Granted BY CX
Contact Info:
Primary Info: Permission Granted BY CX
SSN:
US Citizen:
Alien#
Occupation:
Smoker:
D.O.B:
Company Name:
Company Number:
# Of Person On Taxes:
Annual Income:
Permission Granted BY CX
Contact Info:
Primary Info: Permission Granted BY CX
SSN:
US Citizen:
Alien#
Occupation:
Smoker:
D.O.B:
Company Name:
Company Number:
# Of Person On Taxes:
Annual Income:
Permission Granted BY CX
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