← Paul Test

doc13651 AppealForm.pdf

⬇ Export JSON

Badge numbers are the reading order (depth-first). Nested children have dashed borders; grandchildren dotted. Hover a box for its type, text and attributes.

Page 1

64 item(s) JSON
figure (1) footer (1) form_field (31) header (1) heading (1) list (1) list_item (3) table (1) table_cell (5) text (18) title (1)
Page 1
1 · FIGURE
2 · HEADER
3 · TEXT
4
5 · TEXT
6 · TEXT
7 · TEXT
8 · LIST
9
10
11
12 · TEXT
13 · HEADING
14 · TABLE
15
16
17
18
19
20
21
22
23 · TEXT
24
25 · TEXT
26
27 · FORM_FIELD
28 · TEXT
29 · TEXT
30 · TEXT
31
32 · TEXT
33
34 · TEXT
35
36
37
38 · TEXT
39
40
41
42
43 · TEXT
44 · TITLE
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60 · TEXT
61 · TEXT
62 · TEXT
63 · TEXT
64 · FOOTER
Page 1 JSON
{
    "document_id": 13651,
    "page": 1,
    "width_pt": 612,
    "height_pt": 792,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 13760,
    "item_count": 64,
    "counts_by_type": {
        "figure": 1,
        "footer": 1,
        "form_field": 31,
        "header": 1,
        "heading": 1,
        "list": 1,
        "list_item": 3,
        "table": 1,
        "table_cell": 5,
        "text": 18,
        "title": 1
    },
    "build_ms": 5,
    "items": [
        {
            "id": "p1.1",
            "order": 1,
            "type": "figure",
            "bbox": {
                "l": 55.92,
                "t": 774.7252,
                "r": 130.08,
                "b": 721.7013
            },
            "text": "",
            "attrs": {
                "role": "page_header",
                "block_label": "header_image"
            }
        },
        {
            "id": "p1.2",
            "order": 2,
            "type": "header",
            "bbox": {
                "l": 327.36,
                "t": 776.6447,
                "r": 552.72,
                "b": 716.6628
            },
            "text": "KENTUCKY STATE UNIVERSITY\nPARKING DIVISION\n400 East Main Street Frankfort, KY 40601\nelephone: 502-597-5986  Fax:502-597-5827",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p1.3",
            "order": 3,
            "type": "text",
            "bbox": {
                "l": 384.72,
                "t": 700.1078,
                "r": 553.92,
                "b": 686.432
            },
            "text": "Today's Date: ___",
            "children": [
                {
                    "id": "p1.3.1",
                    "order": 4,
                    "type": "form_field",
                    "bbox": {
                        "l": 449.28,
                        "t": 701.0401,
                        "r": 552.72,
                        "b": 687.6001
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "Today's Date: ___",
                        "pdf_field_name": "Todays Date",
                        "source": "acroform",
                        "label_source": "parent_text",
                        "label_ref": "p1.3",
                        "text_offset": 14,
                        "text_span": 3
                    }
                }
            ]
        },
        {
            "id": "p1.4",
            "order": 5,
            "type": "text",
            "bbox": {
                "l": 37.68,
                "t": 699.8679,
                "r": 554.16,
                "b": 681.3935
            },
            "text": "How to file an appeal:"
        },
        {
            "id": "p1.5",
            "order": 6,
            "type": "text",
            "bbox": {
                "l": 36,
                "t": 671.3166,
                "r": 394.56,
                "b": 658.3605
            },
            "text": "An appeal that does not have the required documents will not be considered."
        },
        {
            "id": "p1.6",
            "order": 7,
            "type": "text",
            "bbox": {
                "l": 36.48,
                "t": 657.4008,
                "r": 189.84,
                "b": 645.4044
            },
            "text": "The appeal process is as follows:"
        },
        {
            "id": "p1.7",
            "order": 8,
            "type": "list",
            "bbox": {
                "l": 36,
                "t": 642.2854,
                "r": 455.28,
                "b": 599.8182
            },
            "text": "",
            "attrs": {
                "item_count": 3
            },
            "children": [
                {
                    "id": "p1.7.1",
                    "order": 9,
                    "type": "list_item",
                    "bbox": {
                        "l": 36.24,
                        "t": 642.2854,
                        "r": 207.84,
                        "b": 630.0491
                    },
                    "text": "Pay the fine at the Bursar's Office.",
                    "marker": "1."
                },
                {
                    "id": "p1.7.2",
                    "order": 10,
                    "type": "list_item",
                    "bbox": {
                        "l": 36,
                        "t": 627.8897,
                        "r": 390.48,
                        "b": 615.1736
                    },
                    "text": "Attach the paid receipt and the pink copy of the ticket to the appeal form.",
                    "marker": "2."
                },
                {
                    "id": "p1.7.3",
                    "order": 11,
                    "type": "list_item",
                    "bbox": {
                        "l": 36.48,
                        "t": 612.7743,
                        "r": 455.28,
                        "b": 599.8182
                    },
                    "text": "Submit the appeal to the Parking Office within 14 days of the date the vehicle was cited.",
                    "marker": "3."
                }
            ]
        },
        {
            "id": "p1.8",
            "order": 12,
            "type": "text",
            "bbox": {
                "l": 36.48,
                "t": 598.3787,
                "r": 546,
                "b": 559.5105
            },
            "text": "The Appeals Committee evaluate the appeal and render a decision in accordance with the parking regulations. Explain the circumstances; when, where, and why it occurred. Remember, the issue in the appeal is not whether the parking regulations are fair, but whether the regulations were violated."
        },
        {
            "id": "p1.9",
            "order": 13,
            "type": "heading",
            "bbox": {
                "l": 156.24,
                "t": 554.472,
                "r": 432.48,
                "b": 541.9958
            },
            "text": "The decision of the Parking Appeal Committee is Final.",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p1.10",
            "order": 14,
            "type": "table",
            "bbox": {
                "l": 36.72,
                "t": 541.276,
                "r": 553.44,
                "b": 512.2448
            },
            "text": "",
            "attrs": {
                "block_label": "table",
                "n_rows": 2,
                "n_cols": 4,
                "integrity": {
                    "cells_checked": 5,
                    "cells_flagged": 0
                }
            },
            "children": [
                {
                    "id": "p1.10.1",
                    "order": 15,
                    "type": "table_cell",
                    "bbox": {
                        "l": 39.257,
                        "t": 539.9873,
                        "r": 210.059,
                        "b": 519.3593000000001
                    },
                    "text": "Violator's Information:",
                    "attrs": {
                        "row": 0,
                        "col": 0,
                        "rowspan": 2,
                        "colspan": 1,
                        "bbox_refit": true
                    }
                },
                {
                    "id": "p1.10.2",
                    "order": 16,
                    "type": "table_cell",
                    "bbox": {
                        "l": 270.137,
                        "t": 539.9613800000001,
                        "r": 319.66244,
                        "b": 527.30954
                    },
                    "text": "Check one:",
                    "attrs": {
                        "row": 0,
                        "col": 1,
                        "rowspan": 2,
                        "colspan": 1,
                        "bbox_refit": true,
                        "column_header": true,
                        "header_source": "pdf"
                    }
                },
                {
                    "id": "p1.10.3",
                    "order": 17,
                    "type": "table_cell",
                    "bbox": {
                        "l": 373.18436,
                        "t": 539.9613800000001,
                        "r": 417.67556,
                        "b": 527.30954
                    },
                    "text": "Employee",
                    "attrs": {
                        "row": 0,
                        "col": 2,
                        "rowspan": 1,
                        "colspan": 1,
                        "bbox_refit": true,
                        "column_header": true,
                        "header_source": "pdf"
                    },
                    "children": [
                        {
                            "id": "p1.10.3.1",
                            "order": 18,
                            "type": "form_field",
                            "bbox": {
                                "l": 346.501,
                                "t": 539.2491,
                                "r": 371.251,
                                "b": 524.9991
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Employee",
                                "pdf_field_name": "emp",
                                "source": "acroform",
                                "row": 0,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 1,
                                "label_source": "parent_text",
                                "label_ref": "p1.10.3",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p1.10.4",
                    "order": 19,
                    "type": "table_cell",
                    "bbox": {
                        "l": 476.38628,
                        "t": 540.07178,
                        "r": 505.43252,
                        "b": 527.41994
                    },
                    "text": "Visitor",
                    "attrs": {
                        "row": 0,
                        "col": 3,
                        "rowspan": 2,
                        "colspan": 1,
                        "bbox_refit": true,
                        "column_header": true,
                        "header_source": "pdf"
                    },
                    "children": [
                        {
                            "id": "p1.10.4.1",
                            "order": 20,
                            "type": "form_field",
                            "bbox": {
                                "l": 447.752,
                                "t": 539.6241,
                                "r": 472.502,
                                "b": 525.3741
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "the",
                                "pdf_field_name": "visitor",
                                "source": "acroform",
                                "row": 0,
                                "col": 3,
                                "rowspan": 2,
                                "colspan": 1,
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p1.10.5",
                    "order": 21,
                    "type": "table_cell",
                    "bbox": {
                        "l": 373.18436,
                        "t": 525.4437800000001,
                        "r": 408.44612,
                        "b": 512.7919400000001
                    },
                    "text": "Student",
                    "attrs": {
                        "row": 1,
                        "col": 0,
                        "rowspan": 1,
                        "colspan": 1,
                        "bbox_refit": true,
                        "column_header": true,
                        "header_source": "pdf"
                    },
                    "children": [
                        {
                            "id": "p1.10.5.1",
                            "order": 22,
                            "type": "form_field",
                            "bbox": {
                                "l": 346.751,
                                "t": 526.6241,
                                "r": 371.501,
                                "b": 512.3741
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Student",
                                "pdf_field_name": "student",
                                "source": "acroform",
                                "row": 1,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "label_source": "parent_text",
                                "label_ref": "p1.10.5",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                }
            ]
        },
        {
            "id": "p1.11",
            "order": 23,
            "type": "text",
            "bbox": {
                "l": 54,
                "t": 509.1257,
                "r": 295.68,
                "b": 495.6898
            },
            "text": "Name: ___",
            "children": [
                {
                    "id": "p1.11.1",
                    "order": 24,
                    "type": "form_field",
                    "bbox": {
                        "l": 88.08,
                        "t": 510.8401,
                        "r": 294.72,
                        "b": 497.4001
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "Name: ___",
                        "pdf_field_name": "Name 1",
                        "source": "acroform",
                        "label_source": "parent_text",
                        "label_ref": "p1.11",
                        "text_offset": 6,
                        "text_span": 3
                    }
                }
            ]
        },
        {
            "id": "p1.12",
            "order": 25,
            "type": "text",
            "bbox": {
                "l": 44.88,
                "t": 494.7301,
                "r": 295.92,
                "b": 481.2942
            },
            "text": "Address: ___",
            "children": [
                {
                    "id": "p1.12.1",
                    "order": 26,
                    "type": "form_field",
                    "bbox": {
                        "l": 88.08,
                        "t": 496.3201,
                        "r": 294.72,
                        "b": 482.8801
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "Address",
                        "source": "acroform",
                        "label": "Address: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.12",
                        "text_offset": 9,
                        "text_span": 3
                    }
                }
            ]
        },
        {
            "id": "p1.13",
            "order": 27,
            "type": "form_field",
            "bbox": {
                "l": 88.08,
                "t": 481.8001,
                "r": 294.72,
                "b": 468.3601
            },
            "text": "",
            "attrs": {
                "field_kind": "text",
                "label": "Name [2]",
                "pdf_field_name": "city,st zip",
                "source": "acroform"
            }
        },
        {
            "id": "p1.14",
            "order": 28,
            "type": "text",
            "bbox": {
                "l": 86.4,
                "t": 478.1751,
                "r": 294.96,
                "b": 466.1787
            },
            "text": "___"
        },
        {
            "id": "p1.15",
            "order": 29,
            "type": "text",
            "bbox": {
                "l": 87.84,
                "t": 468.3381,
                "r": 287.04,
                "b": 456.5816
            },
            "text": "(Include: city, state, zip and apartment# if applicable)"
        },
        {
            "id": "p1.16",
            "order": 30,
            "type": "text",
            "bbox": {
                "l": 409.68,
                "t": 509.8455,
                "r": 554.16,
                "b": 495.6898
            },
            "text": "KSUID#: ___",
            "children": [
                {
                    "id": "p1.16.1",
                    "order": 31,
                    "type": "form_field",
                    "bbox": {
                        "l": 449.28,
                        "t": 510.8401,
                        "r": 552.72,
                        "b": 497.4001
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "KSUID",
                        "source": "acroform",
                        "label": "KSUID#: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.16",
                        "text_offset": 8,
                        "text_span": 3
                    }
                }
            ]
        },
        {
            "id": "p1.17",
            "order": 32,
            "type": "text",
            "bbox": {
                "l": 395.76,
                "t": 481.2942,
                "r": 554.16,
                "b": 466.1787
            },
            "text": "Telephone: ___",
            "children": [
                {
                    "id": "p1.17.1",
                    "order": 33,
                    "type": "form_field",
                    "bbox": {
                        "l": 449.28,
                        "t": 481.8001,
                        "r": 552.72,
                        "b": 468.3601
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "Telephone",
                        "source": "acroform",
                        "label": "Telephone: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.17",
                        "text_offset": 11,
                        "text_span": 3
                    }
                }
            ]
        },
        {
            "id": "p1.18",
            "order": 34,
            "type": "text",
            "bbox": {
                "l": 36,
                "t": 451.7831,
                "r": 553.2,
                "b": 438.1072
            },
            "text": "Date of Violation: ___ License Plate#: ___ State: ___",
            "children": [
                {
                    "id": "p1.18.1",
                    "order": 35,
                    "type": "form_field",
                    "bbox": {
                        "l": 139.68,
                        "t": 452.7601,
                        "r": 243.12,
                        "b": 439.3201
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "Date of Violation",
                        "source": "acroform",
                        "label": "Date of Violation: ___ License Plate#: ___ State: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.18",
                        "text_offset": 19,
                        "text_span": 3
                    }
                },
                {
                    "id": "p1.18.2",
                    "order": 36,
                    "type": "form_field",
                    "bbox": {
                        "l": 346.08,
                        "t": 452.7601,
                        "r": 449.52,
                        "b": 439.3201
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "License Plate",
                        "source": "acroform",
                        "label": "Date of Violation: ___ License Plate#: ___ State: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.18",
                        "text_offset": 39,
                        "text_span": 3
                    }
                },
                {
                    "id": "p1.18.3",
                    "order": 37,
                    "type": "form_field",
                    "bbox": {
                        "l": 500.88,
                        "t": 452.7601,
                        "r": 552.72,
                        "b": 439.3201
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "State",
                        "source": "acroform",
                        "label": "Date of Violation: ___ License Plate#: ___ State: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.18",
                        "text_offset": 50,
                        "text_span": 3
                    }
                }
            ]
        },
        {
            "id": "p1.19",
            "order": 38,
            "type": "text",
            "bbox": {
                "l": 36,
                "t": 437.6274,
                "r": 553.68,
                "b": 422.7519
            },
            "text": "Parking Ticket#: ___ Make: ___ Model: ___ Color: ___",
            "children": [
                {
                    "id": "p1.19.1",
                    "order": 39,
                    "type": "form_field",
                    "bbox": {
                        "l": 139.68,
                        "t": 438.2401,
                        "r": 243.12,
                        "b": 424.8001
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "Parking Ticket",
                        "source": "acroform",
                        "label": "Parking Ticket#: ___ Make: ___ Model: ___ Color: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.19",
                        "text_offset": 17,
                        "text_span": 3
                    }
                },
                {
                    "id": "p1.19.2",
                    "order": 40,
                    "type": "form_field",
                    "bbox": {
                        "l": 294.48,
                        "t": 438.2401,
                        "r": 346.32,
                        "b": 424.8001
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "Make",
                        "source": "acroform",
                        "label": "Parking Ticket#: ___ Make: ___ Model: ___ Color: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.19",
                        "text_offset": 27,
                        "text_span": 3
                    }
                },
                {
                    "id": "p1.19.3",
                    "order": 41,
                    "type": "form_field",
                    "bbox": {
                        "l": 397.68,
                        "t": 438.2401,
                        "r": 449.52,
                        "b": 424.8001
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "Model",
                        "source": "acroform",
                        "label": "Parking Ticket#: ___ Make: ___ Model: ___ Color: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.19",
                        "text_offset": 38,
                        "text_span": 3
                    }
                },
                {
                    "id": "p1.19.4",
                    "order": 42,
                    "type": "form_field",
                    "bbox": {
                        "l": 500.88,
                        "t": 438.2401,
                        "r": 552.72,
                        "b": 424.8001
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "pdf_field_name": "Color",
                        "source": "acroform",
                        "label": "Parking Ticket#: ___ Make: ___ Model: ___ Color: ___",
                        "label_source": "parent_text",
                        "label_ref": "p1.19",
                        "text_offset": 49,
                        "text_span": 3
                    }
                }
            ]
        },
        {
            "id": "p1.20",
            "order": 43,
            "type": "text",
            "bbox": {
                "l": 36.72,
                "t": 422.272,
                "r": 245.28,
                "b": 410.0357
            },
            "text": "Permit#: ___"
        },
        {
            "id": "p1.21",
            "order": 44,
            "type": "title",
            "bbox": {
                "l": 34.32,
                "t": 408.1163,
                "r": 555.12,
                "b": 179.2257
            },
            "text": "In the space below type or print statement. (please print legibly)",
            "children": [
                {
                    "id": "p1.21.1",
                    "order": 45,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 394.6801,
                        "r": 552.72,
                        "b": 381.2401
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[1]",
                        "pdf_field_name": "1",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.2",
                    "order": 46,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 380.1602,
                        "r": 552.72,
                        "b": 366.7202
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[2]",
                        "pdf_field_name": "2",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.3",
                    "order": 47,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 365.6401,
                        "r": 552.72,
                        "b": 352.2002
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[3]",
                        "pdf_field_name": "3",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.4",
                    "order": 48,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 350.2802,
                        "r": 552.72,
                        "b": 336.8402
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[4]",
                        "pdf_field_name": "4",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.5",
                    "order": 49,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 334.9202,
                        "r": 552.72,
                        "b": 321.4802
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[5]",
                        "pdf_field_name": "5",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.6",
                    "order": 50,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 319.5602,
                        "r": 552.72,
                        "b": 306.1202
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[6]",
                        "pdf_field_name": "6",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.7",
                    "order": 51,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 304.2002,
                        "r": 552.72,
                        "b": 290.7602
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[7]",
                        "pdf_field_name": "7",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.8",
                    "order": 52,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 288.8402,
                        "r": 552.72,
                        "b": 275.4002
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[8]",
                        "pdf_field_name": "8",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.9",
                    "order": 53,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 273.4802,
                        "r": 552.72,
                        "b": 260.0402
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[9]",
                        "pdf_field_name": "9",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.10",
                    "order": 54,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 258.1202,
                        "r": 552.72,
                        "b": 244.6802
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[10]",
                        "pdf_field_name": "10",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.11",
                    "order": 55,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 242.7602,
                        "r": 552.72,
                        "b": 229.3202
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[11]",
                        "pdf_field_name": "11",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.12",
                    "order": 56,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 227.4002,
                        "r": 552.72,
                        "b": 213.9602
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[12]",
                        "pdf_field_name": "12",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.13",
                    "order": 57,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 212.0402,
                        "r": 552.72,
                        "b": 198.6002
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[13]",
                        "pdf_field_name": "13",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.14",
                    "order": 58,
                    "type": "form_field",
                    "bbox": {
                        "l": 36.48,
                        "t": 196.6802,
                        "r": 552.72,
                        "b": 183.2402
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "[14]",
                        "pdf_field_name": "14",
                        "source": "acroform"
                    }
                },
                {
                    "id": "p1.21.15",
                    "order": 59,
                    "type": "form_field",
                    "bbox": {
                        "l": 139.68,
                        "t": 423.7201,
                        "r": 243.12,
                        "b": 410.2801
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "In the space below type or print statement. (please print legibly)",
                        "pdf_field_name": "Permit #",
                        "source": "acroform",
                        "label_source": "parent_text",
                        "label_ref": "p1.21"
                    }
                }
            ],
            "level": 2
        },
        {
            "id": "p1.22",
            "order": 60,
            "type": "text",
            "bbox": {
                "l": 36.48,
                "t": 165.5498,
                "r": 554.16,
                "b": 150.1945
            },
            "text": "Violator's Signature: ___"
        },
        {
            "id": "p1.23",
            "order": 61,
            "type": "text",
            "bbox": {
                "l": 127.68,
                "t": 122.6028,
                "r": 463.44,
                "b": 109.6468
            },
            "text": "DO NOT WRITE BELOW THIS LINE*****"
        },
        {
            "id": "p1.24",
            "order": 62,
            "type": "text",
            "bbox": {
                "l": 37.44,
                "t": 105.8079,
                "r": 552.72,
                "b": 91.1724
            },
            "text": "Date Received: ___ Signature of person receiving form: ___"
        },
        {
            "id": "p1.25",
            "order": 63,
            "type": "text",
            "bbox": {
                "l": 36.72,
                "t": 75.817,
                "r": 244.8,
                "b": 61.1815
            },
            "text": "Date Completed: ___"
        },
        {
            "id": "p1.26",
            "order": 64,
            "type": "footer",
            "bbox": {
                "l": 133.2,
                "t": 29.2711,
                "r": 454.56,
                "b": 18.9543
            },
            "text": "KSU is an equal educational and employment opportunity/affirmative action institution",
            "attrs": {
                "block_label": "footer"
            }
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}