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\"Image\"
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If so, please list names and phone numbers of any witnesses to the incident(s). Use additional pages, if necessary." }, { "id": "p1.16", "order": 25, "type": "text", "bbox": { "l": 368.88, "t": 334.32, "r": 520.32, "b": 320.16 }, "text": "_Phone: _____" }, { "id": "p1.17", "order": 26, "type": "text", "bbox": { "l": 69.84, "t": 334.08, "r": 404.64, "b": 320.64 }, "text": "Name: ___", "children": [ { "id": "p1.17.1", "order": 27, "type": "form_field", "bbox": { "l": 72, "t": 334.4436, "r": 519.0403, "b": 321.0373 }, "text": "", "attrs": { "field_kind": "text", "label": "Name: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p1.17" } } ] }, { "id": "p1.18", "order": 28, "type": "text", "bbox": { "l": 67.92, "t": 295.2, "r": 398.4, "b": 281.04 }, "text": "Name: ___", "children": [ { "id": "p1.18.1", "order": 29, "type": "form_field", "bbox": { "l": 72, "t": 294.8436, "r": 519.0402, "b": 281.4373 }, "text": "", "attrs": { "field_kind": "text", "label": "Name: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p1.18" } } ] }, { "id": "p1.19", "order": 30, "type": "text", "bbox": { "l": 369.12, "t": 294.96, "r": 520.32, "b": 280.56 }, "text": "_Phone: _____" } ], "excluded_furniture": { "first": [], "last": [] } }