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doc11699 CV005FinalReportandAnswer-artifacted.pdf

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Page 1

65 item(s) JSON
footer (2) form_field (27) heading (1) list (3) list_item (15) text (15) title (2)
Page 1
1 · TITLE
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3 · TEXT
4 · FORM_FIELD
5 · FORM_FIELD
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7 · FORM_FIELD
8 · FORM_FIELD
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60 · TEXT
61 · FORM_FIELD
62 · TEXT
63 · TEXT
64 · FOOTER
65 · FOOTER
Page 1 JSON
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                        "r": 120.835,
                        "b": 207.684
                    },
                    "text": "Off",
                    "attrs": {
                        "field_kind": "checkbox",
                        "label": "CheckBox1",
                        "pdf_field_name": "F[0].P1[0].CheckBox1[5]",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.17.11",
                    "order": 50,
                    "type": "form_field",
                    "bbox": {
                        "l": 157.323,
                        "t": 208.658,
                        "r": 512.418,
                        "b": 197.83
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "TextField1",
                        "pdf_field_name": "F[0].P1[0].TextField1[12]",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.17.12",
                    "order": 51,
                    "type": "form_field",
                    "bbox": {
                        "l": 110.807,
                        "t": 204.247,
                        "r": 120.807,
                        "b": 194.247
                    },
                    "text": "Off",
                    "attrs": {
                        "field_kind": "checkbox",
                        "label": "CheckBox1",
                        "pdf_field_name": "F[0].P1[0].CheckBox1[6]",
                        "source": "acroform"
                    }
                }
            ]
        },
        {
            "id": "p1.18",
            "order": 52,
            "type": "form_field",
            "bbox": {
                "l": 311.811,
                "t": 189.156,
                "r": 538.639,
                "b": 178.328
            },
            "text": "",
            "attrs": {
                "field_kind": "text",
                "label": "TextField1",
                "pdf_field_name": "F[0].P1[0].TextField1[13]",
                "source": "acroform"
            }
        },
        {
            "id": "p1.19",
            "order": 53,
            "type": "text",
            "bbox": {
                "l": 16.32,
                "t": 186.24,
                "r": 212.16,
                "b": 174.72
            },
            "text": "I CERTIFY THAT THE STATEMENTS ABOVE ARE TRUE:"
        },
        {
            "id": "p1.20",
            "order": 54,
            "type": "text",
            "bbox": {
                "l": 16.56,
                "t": 185.76,
                "r": 554.88,
                "b": 174.48
            },
            "text": "___"
        },
        {
            "id": "p1.21",
            "order": 55,
            "type": "text",
            "bbox": {
                "l": 335.04,
                "t": 173.52,
                "r": 441.12,
                "b": 162.96
            },
            "text": "PRINTED NAME OF EMPLOYER"
        },
        {
            "id": "p1.22",
            "order": 56,
            "type": "form_field",
            "bbox": {
                "l": 312.577,
                "t": 147.883,
                "r": 534.274,
                "b": 137.055
            },
            "text": "",
            "attrs": {
                "field_kind": "text",
                "label": "TextField1",
                "pdf_field_name": "F[0].P1[0].TextField1[14]",
                "source": "acroform"
            }
        },
        {
            "id": "p1.23",
            "order": 57,
            "type": "text",
            "bbox": {
                "l": 34.56,
                "t": 121.92,
                "r": 265.44,
                "b": 71.04
            },
            "text": "ONE COPY OF THE FINAL REPORT AND ANSWER SHALL BE SERVED UPON THE GARNISHEE IN ACCORDANCE WITH R.C. 2716.05. THE GARNISHEE SHALL FILE THE FINAL REPORT AND ANSWER WITH THE COURT WHEN THE CONTINUOUS GARNISHMENT CEASES TO REMAIN IN EFFECT (See R.C.2716.08(A) and R.C.2716.041) PRINTED NAME AND TITLE OF PERSON WHO COMPLETED FORM ON BEHALF OF EMPLOYER"
        },
        {
            "id": "p1.24",
            "order": 58,
            "type": "text",
            "bbox": {
                "l": 306,
                "t": 132.96,
                "r": 534.48,
                "b": 112.32
            },
            "text": "PRINTED NAME AND TITLE OF PERSON WHO COMPLETED FORM ON BEHALF OF EMPLOYER"
        },
        {
            "id": "p1.25",
            "order": 59,
            "type": "form_field",
            "bbox": {
                "l": 310.337,
                "t": 101.423,
                "r": 530.419,
                "b": 90.595
            },
            "text": "",
            "attrs": {
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                "label": "TextField1",
                "pdf_field_name": "F[0].P1[0].TextField1[15]",
                "source": "acroform"
            }
        },
        {
            "id": "p1.26",
            "order": 60,
            "type": "text",
            "bbox": {
                "l": 306.24,
                "t": 84.96,
                "r": 506.88,
                "b": 74.4
            },
            "text": "SIGNATURE OF EMPLOYER OR EMPLOYER'S AGENT"
        },
        {
            "id": "p1.27",
            "order": 61,
            "type": "form_field",
            "bbox": {
                "l": 311.84,
                "t": 71.404,
                "r": 385.654,
                "b": 60.576
            },
            "text": "",
            "attrs": {
                "field_kind": "text",
                "label": "TextField1",
                "pdf_field_name": "F[0].P1[0].TextField1[16]",
                "source": "acroform"
            }
        },
        {
            "id": "p1.28",
            "order": 62,
            "type": "text",
            "bbox": {
                "l": 307.68,
                "t": 61.68,
                "r": 388.8,
                "b": 53.52
            },
            "text": "_____"
        },
        {
            "id": "p1.29",
            "order": 63,
            "type": "text",
            "bbox": {
                "l": 306.96,
                "t": 54.96,
                "r": 329.04,
                "b": 45.36
            },
            "text": "DATE"
        },
        {
            "id": "p1.30",
            "order": 64,
            "type": "footer",
            "bbox": {
                "l": 18.24,
                "t": 31.44,
                "r": 36.96,
                "b": 24
            },
            "text": "CV005",
            "attrs": {
                "block_label": "number"
            }
        },
        {
            "id": "p1.31",
            "order": 65,
            "type": "footer",
            "bbox": {
                "l": 527.52,
                "t": 31.44,
                "r": 582.96,
                "b": 24.24
            },
            "text": "Rev 1.0 081014-08/17",
            "attrs": {
                "block_label": "footer"
            }
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}