Documents tagged "Birth"

Found 11 documents with this tag

DOJ-OGR-00026803.jpg

The image shows a document titled "Photo Sheet" with various fields to be filled out, such as "Booking Number," "Name of Inmate," and "Date of Birth." It also includes sections for recording the "Location," "Time," and other details about an inmate at the Metropolitan Correctional Center in New York, NY. The document appears to be a standard form used by law enforcement or correctional facilities.

Photo Sheet Booking Number Metropolitan Correctional Center New York Photo Sheet Booking Number Name Inmate Date Birth Location Time Metropolitan Correctional Center New York

DOJ-OGR-00026605.jpg

The image appears to be a digital scan of an official document with sections outlined in red and purple lines. There are multiple columns with headers such as "Name," "Address," and "Date of Birth." The text is too small and blurry to read clearly, but it seems that personal information has been entered into some cells within the document. In one section at the bottom, there's a signature, suggesting this could be an application or form requiring personal verification.

Name Address Date Birth

DOJ-OGR-00026497.jpg

The image appears to be a document with printed text and handwritten notes. It seems like an official form with sections for filling out information. The document is titled "SPECIAL PAY SUBMISSION" at the top. Below that, there are columns with headings such as "Name," "Date of Birth," and various fields related to service details, awards, and pay adjustments. There's a section labeled "Purpose for Submission" where information has been filled out. The handwritten annotations include numbers in brackets next to certain lines, possibly indicating amounts or codes relevant to the form. It is not clear from the image who the form is for or the specific context of its use.

Below Name Date Birth Purpose Submission

DOJ-OGR-00026287.jpg

The image shows a printed form with various fields and headings. At the top of the form is the title "Prisoners Health Services" followed by what appears to be an identification number in pink ink. There are sections titled "Patient Name," which is currently blank, "Medical Number," again left empty, and other areas such as "Date of Birth," "Address," and "Phone Number." Each section seems to be intended for specific personal information about the individual receiving healthcare services. The form has a structured layout with lines dividing different fields, suggesting it's designed to collect essential demographic and contact details.

Prisoners Health Services Patient Name Medical Number Phone Number Prisoners Health Services Patient Name Medical Number Date Birth Address Phone

DOJ-OGR-00026164.jpg

The image displays a medical document with a header that reads "Patient Summary" at the top. Below the header, there is a series of sections with headings such as "Date of Birth," "Primary Care Provider," and other medical information fields. The document appears to be a template for recording various details about a patient's health history or status, although specific data has been redacted to maintain privacy. The style of the image is straightforward and informational, typical of medical records or administrative forms used in healthcare settings.

Patient Summary Primary Care Provider Patient Summary Below Date Birth Primary Care Provider

DOJ-OGR-00026085.jpg

The image shows a document with various sections of text and numbers, including a form filled out by hand. There is also an x-ray film placed on top of the document, which appears to be a dental panoramic radiograph showing teeth and jaw structures. The focus of the image seems to be related to medical records or patient information, specifically for dental care. The text includes words such as "Patient Name", "Date of Birth", "Address", and numbers possibly representing identification numbers, ages, or dates.

Patient Name Patient Name Date Birth Address

DOJ-OGR-00025590.jpg

The image appears to be a low-resolution photograph of a printed document titled "Student Observation Update" from the University of California at Berkeley (UCB). The document contains various fields such as Name, Date of Birth, and Address for which information has been redacted with a pink highlighter, obscuring personal details. The document also includes checkboxes for different statuses like 'Completes' or 'Not Completes,' indicating some form of assessment or review process. There are no visible texts other than the title and field names on the document.

Student Observation Update Not Completes Student Observation Update University California Berkeley Name Date Birth Address Completes Not

DOJ-OGR-00020716.jpg

The image is a photograph of a printed document with red text on white paper. The visible portions of the text include phrases like "Case Number" and a list item that says "Date of Birth." There are also references to "Received," "Court," and other legal terminology typically associated with court documents or case files. The text is printed in black ink, and there appears to be some handwritten annotations on the document, such as underlining, circling, and comments made in a different color of ink. The style of the image suggests it might have been taken from a personal computer screen or a physical file during a legal proceeding or review.

Case Number Case Number Date Birth Received Court

DOJ-OGR-00020431.jpg

The image is a photo of a document with text and numbers, showing data that appears to be related to some sort of medical study or research. The top part of the document contains red text which could indicate important information such as a date or a subject heading. There are tables on the left side with column headings like "Patient Number" and "Date of Birth," while on the right side, there's another table with columns that seem to pertain to specific parameters or measurements related to the research data. The overall style is informational and formal, typical for a scientific or medical report.

Patient Number Patient Number Date Birth

DOJ-OGR-00020396.jpg

The image shows a document with printed information. At the top of the page, there is a date and time stamp that reads "Fri, Aug 29 07:51 AM" and an electronic file format indicator showing the document to be in PDF (Portable Document Format). Below this, there are two columns containing data, which appears to be a list or table with various headings such as "Name," "Date of Birth," and other personal details typically used for identification purposes. Each entry is formatted in a structured manner suggesting it could be part of an official document like a personnel record, directory, or registry. The text is too small to read clearly, but the overall style of the document suggests an official or administrative function.

Portable Document Format Fri Aug Portable Document Format Below Name Date Birth

DOJ-OGR-00025336.jpg

The image is a scanned document with some personal information obscured by red lines and markers to protect privacy. It includes fields such as "Name", "Address", "Date of Birth", and others that typically appear on an ID or personal record form. There are also sections for signatures and possibly thumbprints, which suggest it is a legal or official document requiring validation by the bearer. The overall style of the image is informational and formal in nature.

Name Address Date Birth