{
    "document_id": 16513,
    "page": 95,
    "width_pt": 612,
    "height_pt": 792,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 16628,
    "item_count": 32,
    "counts_by_type": {
        "figure": 2,
        "header": 3,
        "heading": 5,
        "list": 2,
        "list_item": 6,
        "text": 14
    },
    "build_ms": 2,
    "items": [
        {
            "id": "p95.1",
            "order": 1,
            "type": "figure",
            "bbox": {
                "l": 64.8,
                "t": 743.04,
                "r": 140.88,
                "b": 700.8
            },
            "text": "",
            "attrs": {
                "role": "page_header",
                "block_label": "header_image"
            }
        },
        {
            "id": "p95.2",
            "order": 2,
            "type": "header",
            "bbox": {
                "l": 144.96,
                "t": 736.56,
                "r": 372.72,
                "b": 716.64
            },
            "text": "KENTUCKY STATE UNIVERSITY",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p95.3",
            "order": 3,
            "type": "header",
            "bbox": {
                "l": 156.48,
                "t": 709.44,
                "r": 231.36,
                "b": 698.16
            },
            "text": "SCHOOL OF NURSING",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p95.4",
            "order": 4,
            "type": "header",
            "bbox": {
                "l": 423.36,
                "t": 735.36,
                "r": 521.76,
                "b": 716.16
            },
            "text": "400 EAST MAIN STREET\nFRANKFORT, KENTUCKY 40601",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p95.5",
            "order": 5,
            "type": "figure",
            "bbox": {
                "l": 64.8,
                "t": 745,
                "r": 522.28,
                "b": 697.15
            },
            "text": "",
            "attrs": {
                "source": "pdf_image"
            }
        },
        {
            "id": "p95.6",
            "order": 6,
            "type": "text",
            "bbox": {
                "l": 409.2,
                "t": 709.92,
                "r": 519.6,
                "b": 698.64
            },
            "text": "BETTY WHITE HEALTH CENTER"
        },
        {
            "id": "p95.7",
            "order": 7,
            "type": "heading",
            "bbox": {
                "l": 67.2,
                "t": 664.08,
                "r": 522.24,
                "b": 636.48
            },
            "text": "PART D – Complete this part only if there is no contract in place with the agency/site where the Scholarly Project will be implemented.",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p95.8",
            "order": 8,
            "type": "text",
            "bbox": {
                "l": 68.88,
                "t": 614.64,
                "r": 547.2,
                "b": 601.2
            },
            "text": "I am a"
        },
        {
            "id": "p95.9",
            "order": 9,
            "type": "heading",
            "bbox": {
                "l": 71.04,
                "t": 614.64,
                "r": 169.92,
                "b": 601.92
            },
            "text": "Agency Information",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p95.10",
            "order": 10,
            "type": "text",
            "bbox": {
                "l": 71.28,
                "t": 599.76,
                "r": 535.44,
                "b": 585.6
            },
            "text": "Legal name of the agency, clinic, group or entity who owns or has responsibility for the agency/site."
        },
        {
            "id": "p95.11",
            "order": 11,
            "type": "text",
            "bbox": {
                "l": 193.2,
                "t": 568.08,
                "r": 389.04,
                "b": 555.36
            },
            "text": "(Note: Legal name may or may not be different)"
        },
        {
            "id": "p95.12",
            "order": 12,
            "type": "heading",
            "bbox": {
                "l": 70.8,
                "t": 540.48,
                "r": 218.64,
                "b": 526.56
            },
            "text": "Office Manager/Administrator",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p95.13",
            "order": 13,
            "type": "list",
            "bbox": {
                "l": 70.56,
                "t": 514.08,
                "r": 528.48,
                "b": 449.76
            },
            "text": "",
            "attrs": {
                "item_count": 3
            },
            "children": [
                {
                    "id": "p95.13.1",
                    "order": 14,
                    "type": "list_item",
                    "bbox": {
                        "l": 70.56,
                        "t": 514.08,
                        "r": 528.48,
                        "b": 499.92
                    },
                    "text": "Name:___"
                },
                {
                    "id": "p95.13.2",
                    "order": 15,
                    "type": "list_item",
                    "bbox": {
                        "l": 70.8,
                        "t": 489.6,
                        "r": 525.84,
                        "b": 474.96
                    },
                    "text": "Telephone Number with area code: _____"
                },
                {
                    "id": "p95.13.3",
                    "order": 16,
                    "type": "list_item",
                    "bbox": {
                        "l": 70.8,
                        "t": 464.4,
                        "r": 525.84,
                        "b": 449.76
                    },
                    "text": "Mailing address of Office Manager/Administrator: ___"
                }
            ]
        },
        {
            "id": "p95.14",
            "order": 17,
            "type": "text",
            "bbox": {
                "l": 323.04,
                "t": 450.48,
                "r": 479.04,
                "b": 438.72
            },
            "text": "(if different from agency mailing address)"
        },
        {
            "id": "p95.15",
            "order": 18,
            "type": "text",
            "bbox": {
                "l": 71.76,
                "t": 427.92,
                "r": 360.96,
                "b": 415.68
            },
            "text": "City State Zip Code"
        },
        {
            "id": "p95.16",
            "order": 19,
            "type": "text",
            "bbox": {
                "l": 179.04,
                "t": 427.68,
                "r": 425.52,
                "b": 415.92
            },
            "text": "State Zip Code County"
        },
        {
            "id": "p95.17",
            "order": 20,
            "type": "heading",
            "bbox": {
                "l": 70.32,
                "t": 402.72,
                "r": 289.92,
                "b": 389.04
            },
            "text": "[p95.17.1]Person Legally Authorized to Sign Contracts",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "children": [
                {
                    "id": "p95.17.1",
                    "order": 21,
                    "type": "text",
                    "bbox": {
                        "l": 70.32,
                        "t": 402.72,
                        "r": 289.92,
                        "b": 389.04
                    },
                    "text": "^{*}",
                    "attrs": {
                        "inline": true,
                        "text_offset": 0,
                        "text_span": 10,
                        "bbox_estimated": true
                    }
                }
            ],
            "level": 3
        },
        {
            "id": "p95.18",
            "order": 22,
            "type": "list",
            "bbox": {
                "l": 69.6,
                "t": 402,
                "r": 548.16,
                "b": 336.72
            },
            "text": "",
            "attrs": {
                "item_count": 3
            },
            "children": [
                {
                    "id": "p95.18.1",
                    "order": 23,
                    "type": "list_item",
                    "bbox": {
                        "l": 69.6,
                        "t": 402,
                        "r": 548.16,
                        "b": 387.84
                    },
                    "text": "contracts"
                },
                {
                    "id": "p95.18.2",
                    "order": 24,
                    "type": "list_item",
                    "bbox": {
                        "l": 72,
                        "t": 375.6,
                        "r": 102,
                        "b": 363.12
                    },
                    "text": "Name"
                },
                {
                    "id": "p95.18.3",
                    "order": 25,
                    "type": "list_item",
                    "bbox": {
                        "l": 70.8,
                        "t": 350.88,
                        "r": 523.92,
                        "b": 336.72
                    },
                    "text": "Complete Mailing Address ___"
                }
            ]
        },
        {
            "id": "p95.19",
            "order": 26,
            "type": "text",
            "bbox": {
                "l": 252,
                "t": 337.92,
                "r": 321.84,
                "b": 326.4
            },
            "text": "Street or P.O. Box"
        },
        {
            "id": "p95.20",
            "order": 27,
            "type": "text",
            "bbox": {
                "l": 72,
                "t": 308.16,
                "r": 433.68,
                "b": 296.4
            },
            "text": "City State Zip Code"
        },
        {
            "id": "p95.21",
            "order": 28,
            "type": "text",
            "bbox": {
                "l": 251.76,
                "t": 307.92,
                "r": 497.28,
                "b": 296.4
            },
            "text": "State Zip Code County"
        },
        {
            "id": "p95.22",
            "order": 29,
            "type": "text",
            "bbox": {
                "l": 72,
                "t": 261.36,
                "r": 352.32,
                "b": 247.92
            },
            "text": "Fax Number ___ Email"
        },
        {
            "id": "p95.23",
            "order": 30,
            "type": "text",
            "bbox": {
                "l": 161.04,
                "t": 248.4,
                "r": 248.64,
                "b": 236.16
            },
            "text": "Area code & number"
        },
        {
            "id": "p95.24",
            "order": 31,
            "type": "heading",
            "bbox": {
                "l": 71.28,
                "t": 202.32,
                "r": 522.72,
                "b": 174.96
            },
            "text": "[p95.24.1]Note the person legally authorized to sign contracts is usually a different person than the office manager.",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "children": [
                {
                    "id": "p95.24.1",
                    "order": 32,
                    "type": "text",
                    "bbox": {
                        "l": 71.28,
                        "t": 202.32,
                        "r": 522.72,
                        "b": 174.96
                    },
                    "text": "^{*}",
                    "attrs": {
                        "inline": true,
                        "text_offset": 0,
                        "text_span": 10,
                        "bbox_estimated": true
                    }
                }
            ],
            "level": 3
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}