{ "document_id": 10963, "page": 1, "width_pt": 612, "height_pt": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "engine": "paddleocr_vl", "source_run_id": 11073, "item_count": 30, "counts_by_type": { "figure": 1, "header": 1, "table": 1, "table_cell": 24, "text": 2, "title": 1 }, "build_ms": 3, "items": [ { "id": "p1.1", "order": 1, "type": "figure", "bbox": { "l": 40.08, "t": 750.72, "r": 125.76, "b": 676.56 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" } }, { "id": "p1.2", "order": 2, "type": "header", "bbox": { "l": 479.04, "t": 743.52, "r": 574.32, "b": 672 }, "text": "PO BOX 202001\nATTN: Livestock Dealer Licensing\nHELENA, MT. 59620-2001\nOFFICE: (406) 444-9762\nWEBSITE: www.liv.mt.gov", "attrs": { "block_label": "header" }, "level": 2 }, { "id": "p1.3", "order": 3, "type": "title", "bbox": { "l": 199.2, "t": 749.04, "r": 429.6, "b": 675.6 }, "text": "DEPARTMENT OF LIVESTOCK\nBRANDS ENFORCEMENT DIVISION\nMONTANA LIVESTOCK DEALER LICENSE\nAPPLICATION FOR ADDITIONAL AGENT", "attrs": { "block_label": "doc_title" }, "level": 2 }, { "id": "p1.4", "order": 4, "type": "text", "bbox": { "l": 38.4, "t": 649.2, "r": 390.24, "b": 627.36 }, "text": "Fee to add additional agent(s) to your MT Livestock Dealer License is $250 per agent being added. Please include fee when sending application for additional agent(s)." }, { "id": "p1.5", "order": 5, "type": "text", "bbox": { "l": 38.88, "t": 620.4, "r": 145.92, "b": 609.36 }, "text": "Applicant: Please print or type" }, { "id": "p1.6", "order": 6, "type": "table", "bbox": { "l": 37.2, "t": 610.32, "r": 578.88, "b": 80.4 }, "text": "", "attrs": { "block_label": "table", "n_rows": 14, "n_cols": 5, "integrity": { "cells_checked": 16, "cells_flagged": 0 } }, "children": [ { "id": "p1.6.1", "order": 7, "type": "table_cell", "bbox": { "l": 42.2399, "t": 603.977612, "r": 170.600003, "b": 592.325646 }, "text": "1. Name of Entity (individual or firm)", "attrs": { "row": 0, "col": 0, "rowspan": 1, "colspan": 5, "bbox_refit": true } }, { "id": "p1.6.2", "order": 8, "type": "table_cell", "bbox": { "l": 42.2398, "t": 571.097612, "r": 105.439908, "b": 559.445646 }, "text": "2. Mailing Address", "attrs": { "row": 1, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true } }, { "id": "p1.6.3", "order": 9, "type": "table_cell", "bbox": { "l": 312.190208, "t": 571.097612, "r": 491.73467, "b": 559.445646 }, "text": "3. Street Address (if different from mailing address)", "attrs": { "row": 1, "col": 1, "rowspan": 1, "colspan": 3, "bbox_refit": true } }, { "id": "p1.6.4", "order": 10, "type": "table_cell", "bbox": { "l": 42.2398, "t": 538.217612, "r": 64.098627, "b": 526.565646 }, "text": "4. City", "attrs": { "row": 2, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true } }, { "id": "p1.6.5", "order": 11, "type": "table_cell", "bbox": { "l": 177.103499, "t": 538.217612, "r": 204.001472, "b": 526.565646 }, "text": "5. State", "attrs": { "row": 2, "col": 1, "rowspan": 1, "colspan": 1, "bbox_refit": true } }, { "id": "p1.6.6", "order": 12, "type": "table_cell", "bbox": { "l": 258.201092, "t": 538.217612, "r": 277.667331, "b": 526.565646 }, "text": "6. Zip", "attrs": { "row": 2, "col": 2, "rowspan": 1, "colspan": 1, "bbox_refit": true } }, { "id": "p1.6.7", "order": 13, "type": "table_cell", "bbox": { "l": 375.064134, "t": 538.217612, "r": 520.386966, "b": 526.565646 }, "text": "7. Telephone Number (include area code)", "attrs": { "row": 2, "col": 3, "rowspan": 1, "colspan": 2, "bbox_refit": true } }, { "id": "p1.6.8", "order": 14, "type": "table_cell", "bbox": { "l": 41.6398, "t": 505.337612, "r": 99.420377, "b": 493.685646 }, "text": "9. Email Address", "attrs": { "row": 3, "col": 0, "rowspan": 1, "colspan": 2, "bbox_refit": true } }, { "id": "p1.6.9", "order": 15, "type": "table_cell", "bbox": { "l": 312.2398, "t": 503.897772, "r": 449.159537, "b": 492.245806 }, "text": "10. Dealers License Number (if available)", "attrs": { "row": 3, "col": 1, "rowspan": 1, "colspan": 3, "bbox_refit": true } }, { "id": "p1.6.10", "order": 16, "type": "table_cell", "bbox": { "l": 42.1199, "t": 469.217612, "r": 569.640512, "b": 409.325806 }, "text": "To The Department of Livestock Brands Enforcement Division Administrator:\nI hereby state that I am fully aware and I do willingly accept full responsibility for all transactions, financial or otherwise, made or entered into, by the following person(s) while acting as an agent for me. I will inform the following agents listed below that they will conduct all transactions under the name of the Entity to be licensed as listed on page 1, part 1. Furthermore, I will send all required information to the Packers & Stockyards Administration (at the times required by Packers & Stockyards) concerning the activities of all agents so that the bond amount for the entity (as listed on page1, part 1) can be determined correctly.", "attrs": { "row": 4, "col": 0, "rowspan": 1, "colspan": 5, "bbox_refit": true, "merged_continuation": true } }, { "id": "p1.6.11", "order": 17, "type": "table_cell", "bbox": { "l": 56.8801, "t": 382.94638, "r": 549.454551, "b": 371.045646 }, "text": "Livestock Dealer Agents: A $250 licensing fee is required for each Livestock Dealer Agent and must be mailed with this form. Please print clearly", "attrs": { "row": 5, "col": 0, "rowspan": 1, "colspan": 5, "bbox_refit": true } }, { "id": "p1.6.12", "order": 18, "type": "table_cell", "bbox": { "l": 75.7199, "t": 355.817612, "r": 182.593462, "b": 344.165646 }, "text": "Name of Agent(s) being Added", "attrs": { "row": 6, "col": 0, "rowspan": 1, "colspan": 1, "bbox_refit": true } }, { "id": "p1.6.13", "order": 19, "type": "table_cell", "bbox": { "l": 319.9197, "t": 356.417612, "r": 436.499256, "b": 344.765646 }, "text": "Mailing Address & Phone Number", "attrs": { "row": 6, "col": 1, "rowspan": 1, "colspan": 4, "bbox_refit": true } }, { "id": "p1.6.14", "order": 20, "type": "table_cell", "bbox": { "l": 37.2, "t": 327.696, "r": 145.536, "b": 292.368 }, "text": "", "attrs": { "row": 7, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p1.6.15", "order": 21, "type": "table_cell", "bbox": { "l": 145.536, "t": 327.696, "r": 578.88, "b": 292.368 }, "text": "", "attrs": { "row": 7, "col": 1, "rowspan": 1, "colspan": 4 } }, { "id": "p1.6.16", "order": 22, "type": "table_cell", "bbox": { "l": 37.2, "t": 292.368, "r": 145.536, "b": 257.04 }, "text": "", "attrs": { "row": 8, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p1.6.17", "order": 23, "type": "table_cell", "bbox": { "l": 145.536, "t": 292.368, "r": 578.88, "b": 257.04 }, "text": "", "attrs": { "row": 8, "col": 1, "rowspan": 1, "colspan": 4 } }, { "id": "p1.6.18", "order": 24, "type": "table_cell", "bbox": { "l": 37.2, "t": 257.04, "r": 145.536, "b": 221.712 }, "text": "", "attrs": { "row": 9, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p1.6.19", "order": 25, "type": "table_cell", "bbox": { "l": 145.536, "t": 257.04, "r": 578.88, "b": 221.712 }, "text": "", "attrs": { "row": 9, "col": 1, "rowspan": 1, "colspan": 4 } }, { "id": "p1.6.20", "order": 26, "type": "table_cell", "bbox": { "l": 37.2, "t": 221.712, "r": 145.536, "b": 186.384 }, "text": "", "attrs": { "row": 10, "col": 0, "rowspan": 1, "colspan": 1 } }, { "id": "p1.6.21", "order": 27, "type": "table_cell", "bbox": { "l": 145.536, "t": 221.712, "r": 578.88, "b": 186.384 }, "text": "", "attrs": { "row": 10, "col": 1, "rowspan": 1, "colspan": 4 } }, { "id": "p1.6.22", "order": 28, "type": "table_cell", "bbox": { "l": 46.8, "t": 183.737612, "r": 136.792705, "b": 162.365726 }, "text": "Printed Name of Licensed Dealer:", "attrs": { "row": 11, "col": 0, "rowspan": 1, "colspan": 5, "bbox_refit": true } }, { "id": "p1.6.23", "order": 29, "type": "table_cell", "bbox": { "l": 46.8, "t": 142.33759199999997, "r": 83.097782, "b": 130.68562599999996 }, "text": "Signature:", "attrs": { "row": 12, "col": 0, "rowspan": 1, "colspan": 5, "bbox_refit": true } }, { "id": "p1.6.24", "order": 30, "type": "table_cell", "bbox": { "l": 46.8, "t": 105.85781199999997, "r": 66.050528, "b": 94.20584599999995 }, "text": "Date:", "attrs": { "row": 13, "col": 0, "rowspan": 1, "colspan": 5, "bbox_refit": true } } ] } ], "excluded_furniture": { "first": [], "last": [] } }