Documents tagged "Name"
Found 125 documents with this tag
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.
DOJ-OGR-00026563.jpg
The image shows a piece of paper with printed text and handwritten annotations. The text appears to be related to travel or scheduling information, possibly an itinerary or event details. It includes the word "Trip" in bold at the top. There are checkboxes next to the text, suggesting that certain items have been marked or selected by hand. Additionally, there's a box labeled "Name," which has also been checked off with a handwritten mark. The paper is slightly crumpled and folded, indicating it has been handled or stored in pockets or bags. There are no people visible in the image.
DOJ-OGR-00026552.jpg
The image shows a piece of paper with various printed documents on it. The document at the top appears to be a form or ticket with some handwritten notes and annotations in red ink. There are sections titled "Age" and "Sex," which seem to be fields for personal information. Below that, there is another document with a section labeled "Name," followed by a line where presumably one's name would be written. The text on the documents is too small to read clearly, but it appears to contain standard printed information typically found on official forms or tickets, such as instructions or prompts for completion. There are no visible people or locations in the image.
DOJ-OGR-00026546.jpg
The image shows a document with multiple fields and lines of text, possibly a form or report page. A pink rectangle has been drawn over one area of the document, highlighting a section which seems to be of interest or importance for some reason. The text within this highlighted area is obscured by the pink overlay. The rest of the document contains various lines of text that appear to be structured data fields such as "Name" and other information relevant to the context of the form or report, though specific details are not clear due to the obstruction.
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.
DOJ-OGR-00026482.jpg
The image is a screenshot of a form with printed text and handwritten notes on it. The form appears to be related to "HOUSING" and contains columns with headers such as "Date," "Name," "Type," "Unit #," "Status," "Amenities," and several others that are partially obscured or not fully legible due to the angle and resolution of the image. The form includes various handwritten entries, including numbers and abbreviations, indicating some sort of data collection or record-keeping. The bottom part of the image is cut off, so additional information may be present on a separate page or section that isn't visible here.
DOJ-OGR-00026463.jpg
The image appears to be a photograph of a document with several pieces of information printed on it. At the top, there is text that reads "MICHELLE MURRAY" and below it says "SPECIAL HOUSING FACILITIES COORDINATOR." The date at the bottom left corner indicates "May 2019." There are various columns with headings such as "Date," "Time," "Name," "Location," "Purpose," and numbers that might represent counts or measurements associated with different days and events. The document seems to be a log of activities or incidents for a specific period, possibly within a facility or organization under the supervision of Michelle Murray.
DOJ-OGR-00026460.jpg
The image appears to be a printed document with handwritten annotations. It features a table titled "EMTALA GUIDELINES" and includes columns labeled "Patient's Name," "Date/Time of Presentation," "Triage Time (15 Min.)," "Physician Exam Time (30 Min.)," and other medical evaluation times. The table lists patient names, dates, and time intervals associated with each step of the process. In addition to the printed content, there are several handwritten marks and notes on the document, including some highlighted areas, underlined text, and circled numbers or terms. The annotations suggest that someone has reviewed the information closely, possibly for quality assurance or instructional purposes.
DOJ-OGR-00026449.jpg
The image shows a piece of paper with printed text and several checkboxes filled in. At the top, it appears to be an official document titled "MULTIPLE HOUSING RENT INCREASE APPLICATION" from the New York State Division of Housing and Community Renewal. Below this title, there's a form with various fields including "Owner Name," "Address," and "Section 8 Voucher Number." There are also checkboxes next to dates and numerical figures that seem to be related to rent increases or allowances for certain periods. The bottom part of the document contains instructions which are partially visible but not fully readable.
DOJ-OGR-00026447.jpg
The image shows a printed document titled "PATIENT WATCH LIST" with the date indicated as Aug 12th 2020. It appears to be a form used for medical purposes, possibly within a hospital setting. The text includes several columns labeled "Name," "Gender," "Age," and others which might refer to patient information, although the specific details are not clear due to the resolution of the image. The document is marked with handwritten notes in blue ink, including underlining certain items and writing numbers next to them. These annotations suggest that someone has reviewed this list, perhaps for quality assurance or clinical purposes. The overall style of the image is straightforward and functional, typical of administrative forms used in healthcare environments.
DOJ-OGR-00026332.jpg
The image displays a document with multiple columns of text information on a white background. The document appears to be a form or report with headings and various fields filled out. There is visible text including words such as "Date," "Name," "Address," "Phone Number," "Email Address," and sections labeled "Patient Information," "Medical History," and others that are not fully legible due to the resolution of the image. The document seems to be a medical or healthcare-related form, given the context of patient information typically requested in such documents.
DOJ-OGR-00026318.jpg
The image is of a document with printed text, which appears to be an official form or letter from a medical institution. At the top, there's a section with handwritten notes and marks, suggesting annotations or corrections have been made. The visible portions of the text include phrases such as "Patient Name," "Address," and "Phone," indicating fields for personal information about the patient. There is also some reference to medical terms like "Health Care Provider," "Appointment Date," and "Time," which suggest that this form is related to scheduling or keeping track of appointments within a health care context.
DOJ-OGR-00026294.jpg
The image shows a document with text and a red line running through it. The text on the top of the document is partially obscured, but it appears to be a list or table with headers such as "Location," "Name," and possibly other descriptive fields. There are numbers visible in the first column, suggesting a numerical index for each entry in the list. In the bottom right corner, there is a date stamp with the year 2015, indicating that the document may be dated from that year. The style of the image suggests it is a photograph or scan of an official document, such as a report, survey, or assessment sheet.
DOJ-OGR-00026288.jpg
The image is a photograph of an official document from the Correctional Service Canada. The text on the document includes various sections such as 'Correctional Officer's Name,' 'Date and Time' with details redacted for privacy. There are also references to 'Appointment,' 'Location,' 'Time Spent,' and 'Notes,' but these sections contain obscured information. The style of the document is formal, with headers, footers, and a structured layout typical of official reports or records.
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.
DOJ-OGR-00026274.jpg
The image is a blurry photograph of a printed document. The text on the document is partially obscured and not fully legible due to the focus and resolution of the photo. However, it appears to be an informational sheet with various sections such as "Patient Name," "Medications," and possibly additional details like dates or notes. There are some visible words and numbers that suggest a medical context, but their specific meanings are not clear in this image. The overall quality of the photograph makes it difficult to provide detailed information about the document's content.
DOJ-OGR-00026265.jpg
The image is a photograph of a piece of paper with printed information on it. The top of the document has "Department of Public Health Services" written on it, suggesting that this may be related to healthcare administration. There are columns visible including 'Name', 'Date', and others which could include details such as age or sex; however, these are cut off in the image provided. There is a section for data entry with blanks where information is typically filled in. The document appears to be an official form, possibly used for recording patient statistics or other public health service data.
DOJ-OGR-00026264.jpg
The image displays a document with the title "BOARD OF HEALTH SANITATION PERMIT" at the top. The text is clear and indicates that it's an official form or report related to health and sanitation requirements, possibly for a business or facility. There are sections on the form where information should be filled out, including items such as "Name of Applicant" and other details pertinent to health inspection reports. There appears to be a date field at the top right corner, but no specific date is visible in this image. The style of the document is typical for official or regulatory paperwork, with lines, boxes, and fields designed to guide the entry of information.
DOJ-OGR-00026255.jpg
The image is a scanned document with various sections of text and data fields. The title at the top reads "DOMESTIC ELECTRICAL APPLIANCE SAFETY NOTIFICATION." Below this, there's a table with columns including "Date Received," "Customer Name," "Model," "Serial Number," and other technical details such as "Type of Appliance," "Brand," "Year," etc. There are also checkboxes indicating if the issue is resolved, pending, or requires action. The document includes a barcode at the bottom right corner, suggesting it's used for inventory or record-keeping purposes within an organization.
DOJ-OGR-00026253.jpg
The image shows a document with various sections and headings, including "Name", "Address", "Telephone", and "Fax" among others. There is a table at the bottom of the page titled "Attachments" which includes columns for "Item", "Type", and "Page". Additionally, there are checkboxes for "Received" and "Not Received" with corresponding instructions to tick them as appropriate. The document appears to be related to communication or a record-keeping process, possibly within an organization or business context.