[ { "page": 1, "items": [ { "page": 1, "type": "TEXT", "location": { "l": 32.88, "t": 697.2, "r": 150.72, "b": 674.64 }, "text": "KENTUCKY STATE UNIVERSITY", "reading_order": 0 }, { "page": 1, "type": "TITLE", "location": { "l": 153.84, "t": 726.48, "r": 381.12, "b": 705.36 }, "text": "Employee Donation Form", "reading_order": 1, "level": 1 }, { "page": 1, "type": "TITLE", "location": { "l": 422.16, "t": 770.88, "r": 585.12, "b": 756.96 }, "text": "PAYROLL OFFICE USE ONLY", "reading_order": 2, "level": 3 }, { "page": 1, "type": "TEXT", "location": { "l": 421.92, "t": 763.44, "r": 587.76, "b": 676.56 }, "text": "Amount per pay period $_____\nNumber of pay periods _____\nDate of first deduction _____\nReceived on _____\nReceived by _____", "reading_order": 3 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 529.84, "t": 754.08, "r": 583.92, "b": 742.32 }, "text": "Amount per pay period", "field_kind": "text", "label": "Amount per pay period", "pdf_field_name": "Amount per pay period", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 523.92, "t": 738.6, "r": 583.92, "b": 726.36 }, "text": "Number of pay periods", "field_kind": "text", "label": "Number of pay periods", "pdf_field_name": "Number of pay periods", "pdf_field_type": "Text", "reading_order": 5 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 518.88, "t": 723.12, "r": 583.92, "b": 710.4 }, "text": "Date of first deduction", "field_kind": "text", "label": "Date of first deduction", "pdf_field_name": "Date of first deduction", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 478.92, "t": 707.56, "r": 583.92, "b": 694.32 }, "text": "Received on", "field_kind": "text", "label": "Received on", "pdf_field_name": "Received on", "pdf_field_type": "Text", "reading_order": 7 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 478.331, "t": 692.294, "r": 583.194, "b": 678.889 }, "text": "Received by _____________________", "field_kind": "text", "label": "Received by _____________________", "pdf_field_name": "Received By Staff", "pdf_field_type": "Text", "reading_order": 8 }, { "page": 1, "type": "TITLE", "location": { "l": 34.32, "t": 649.44, "r": 580.32, "b": 619.92 }, "text": "Yes! I will participate in the Employee Campaign and it will send a strong message that I believe in Kentucky State University's mission!", "reading_order": 9, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 608.4, "r": 508.56, "b": 593.76 }, "text": "Employment Category: Faculty Adjunct Faculty Full-Time Staff Part-Time Staff", "reading_order": 10 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 162.791, "t": 607.211, "r": 170.71, "b": 598.411 }, "text": "the", "field_kind": "radio", "label": "the", "pdf_field_name": "Group4", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 11 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 324.261, "t": 607.651, "r": 333.061, "b": 597.971 }, "text": "will", "field_kind": "radio", "label": "will", "pdf_field_name": "Group4", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 12 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 419.736, "t": 607.651, "r": 427.655, "b": 598.411 }, "text": "message", "field_kind": "radio", "label": "message", "pdf_field_name": "Group4", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 13 }, { "page": 1, "type": "TEXT", "location": { "l": 34.56, "t": 582.48, "r": 576.96, "b": 567.84 }, "text": "Name___ KSU ID #___", "reading_order": 14 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 419.56, "t": 585.24, "r": 575.56, "b": 569.88 }, "text": "KSU ID", "field_kind": "text", "label": "KSU ID", "pdf_field_name": "KSU ID", "pdf_field_type": "Text", "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 67.2205, "t": 585.23, "r": 373.22, "b": 570.31 }, "text": "Name", "field_kind": "text", "label": "Name", "pdf_field_name": "Name", "pdf_field_type": "Text", "reading_order": 16 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 557.04, "r": 577.44, "b": 542.88 }, "text": "Address ___ City ___ State ___ Zip ___", "reading_order": 17 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 472.48, "t": 560.24, "r": 508.48, "b": 544.88 }, "text": "State", "field_kind": "text", "label": "State", "pdf_field_name": "State", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 77.08, "t": 559.8, "r": 293.08, "b": 544.44 }, "text": "Address", "field_kind": "text", "label": "Address", "pdf_field_name": "Address", "pdf_field_type": "Text", "reading_order": 19 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 316.72, "t": 559.8, "r": 442.72, "b": 544.44 }, "text": "City", "field_kind": "text", "label": "City", "pdf_field_name": "City", "pdf_field_type": "Text", "reading_order": 20 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 527.56, "t": 559.8, "r": 575.56, "b": 544.44 }, "text": "Zip", "field_kind": "text", "label": "Zip", "pdf_field_name": "Zip", "pdf_field_type": "Text", "reading_order": 21 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 535.44, "r": 578.16, "b": 521.04 }, "text": "Email _____ Phone _____", "reading_order": 22 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 66.04, "t": 537.84, "r": 324.04, "b": 522.48 }, "text": "Email", "field_kind": "text", "label": "Email", "pdf_field_name": "Email", "pdf_field_type": "Text", "reading_order": 23 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 365.56, "t": 537.84, "r": 575.56, "b": 522.48 }, "text": "Phone", "field_kind": "text", "label": "Phone", "pdf_field_name": "Phone", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 1, "type": "TEXT", "location": { "l": 34.8, "t": 513.12, "r": 577.68, "b": 498.48 }, "text": "Department _____ Campus Phone _____", "reading_order": 25 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 99.4, "t": 515.76, "r": 327.4, "b": 500.4 }, "text": "Department", "field_kind": "text", "label": "Department", "pdf_field_name": "Department", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 407.56, "t": 515.76, "r": 575.56, "b": 500.4 }, "text": "Campus Phone", "field_kind": "text", "label": "Campus Phone", "pdf_field_name": "Campus Phone", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 1, "type": "TEXT", "location": { "l": 33.84, "t": 489.6, "r": 456.48, "b": 474.48 }, "text": "Check if you would like to be listed as \"anonymous\" in all donor recognition materials.", "reading_order": 28 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 36.0779, "t": 488.417, "r": 43.9975, "b": 480.058 }, "text": "q Check if you would like to be listed as “anonymous” in all donor recognition materials.", "field_kind": "checkbox", "label": "q Check if you would like to be listed as “anonymous” in all donor recognition materials.", "pdf_field_name": "Check Box2", "pdf_field_type": "CheckBox", "reading_order": 29 }, { "page": 1, "type": "TITLE", "location": { "l": 38.4, "t": 454.8, "r": 161.04, "b": 440.88 }, "text": "PAYROLL DEDUCTION", "reading_order": 30, "level": 3 }, { "page": 1, "type": "TEXT", "location": { "l": 38.4, "t": 435.36, "r": 135.12, "b": 421.44 }, "text": "I pledge a gift of $", "reading_order": 31 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 133.44, "t": 436.54, "r": 260.266, "b": 422.04 }, "text": "I pledge a gift of", "field_kind": "text", "label": "I pledge a gift of", "pdf_field_name": "I pledge a gift of", "pdf_field_type": "Text", "reading_order": 32 }, { "page": 1, "type": "TEXT", "location": { "l": 37.92, "t": 419.76, "r": 279.6, "b": 391.44 }, "text": "to Kentucky State University. Total will be divided by _____ pay periods (max 26).", "reading_order": 33 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 40.8279, "t": 408.218, "r": 89.4029, "b": 393.095 }, "text": "Pay Period", "field_kind": "text", "label": "Pay Period", "pdf_field_name": "Pay Period", "pdf_field_type": "Text", "reading_order": 34 }, { "page": 1, "type": "TEXT", "location": { "l": 37.92, "t": 380.4, "r": 280.8, "b": 322.32 }, "text": "I authorize these deductions to be made from my paycheck until I change these arrangements in writing (please allow 30 days) or I am no longer employed by Kentucky State University.", "reading_order": 35 }, { "page": 1, "type": "TITLE", "location": { "l": 94.08, "t": 310.8, "r": 219.6, "b": 296.4 }, "text": "26 Pay Period Example", "reading_order": 36, "level": 3 }, { "page": 1, "type": "TABLE", "location": { "l": 39.36, "t": 292.08, "r": 267.36, "b": 186.24 }, "text": "
Gift Per Pay PeriodTotal Gift for Year
$72.54$1,886
$38.46$1,000
$19.23$500
$9.62$250
$3.85$100
$1.92$50
", "rows": [ { "row_index": 0, "location": [ 39.36, 276.96, 267.36, 292.08 ], "cells": [ { "location": [ 39.36, 276.96, 153.36, 292.08 ], "text": "Gift Per Pay Period", "html_text": "Gift Per Pay Period", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 153.36, 276.96, 267.36, 292.08 ], "text": "Total Gift for Year", "html_text": "Total Gift for Year", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 1, "location": [ 39.36, 261.84, 267.36, 276.96 ], "cells": [ { "location": [ 39.36, 261.84, 153.36, 276.96 ], "text": "$72.54", "html_text": "$72.54", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 153.36, 261.84, 267.36, 276.96 ], "text": "$1,886", "html_text": "$1,886", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 2, "location": [ 39.36, 246.72, 267.36, 261.84 ], "cells": [ { "location": [ 39.36, 246.72, 153.36, 261.84 ], "text": "$38.46", "html_text": "$38.46", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 153.36, 246.72, 267.36, 261.84 ], "text": "$1,000", "html_text": "$1,000", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 3, "location": [ 39.36, 231.6, 267.36, 246.72 ], "cells": [ { "location": [ 39.36, 231.6, 153.36, 246.72 ], "text": "$19.23", "html_text": "$19.23", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 153.36, 231.6, 267.36, 246.72 ], "text": "$500", "html_text": "$500", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 4, "location": [ 39.36, 216.48, 267.36, 231.6 ], "cells": [ { "location": [ 39.36, 216.48, 153.36, 231.6 ], "text": "$9.62", "html_text": "$9.62", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 153.36, 216.48, 267.36, 231.6 ], "text": "$250", "html_text": "$250", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 5, "location": [ 39.36, 201.36, 267.36, 216.48 ], "cells": [ { "location": [ 39.36, 201.36, 153.36, 216.48 ], "text": "$3.85", "html_text": "$3.85", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 153.36, 201.36, 267.36, 216.48 ], "text": "$100", "html_text": "$100", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 6, "location": [ 39.36, 186.24, 267.36, 201.36 ], "cells": [ { "location": [ 39.36, 186.24, 153.36, 201.36 ], "text": "$1.92", "html_text": "$1.92", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 153.36, 186.24, 267.36, 201.36 ], "text": "$50", "html_text": "$50", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" } ], "n_rows": 7, "n_cols": 2, "ref": "#/tables/0", "reading_order": 37 }, { "page": 1, "type": "TITLE", "location": { "l": 304.08, "t": 454.8, "r": 426.48, "b": 440.88 }, "text": "ONE-TIME DONATION", "reading_order": 38, "level": 3 }, { "page": 1, "type": "TEXT", "location": { "l": 304.08, "t": 434.64, "r": 567.12, "b": 420 }, "text": "Amount: $_____", "reading_order": 39 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 361.2, "t": 437.4, "r": 565.2, "b": 422.04 }, "text": "Amount", "field_kind": "text", "label": "Amount", "pdf_field_name": "Amount", "pdf_field_type": "Text", "reading_order": 40 }, { "page": 1, "type": "TEXT", "location": { "l": 304.32, "t": 405.6, "r": 395.52, "b": 391.92 }, "text": "Payment options:", "reading_order": 41 }, { "page": 1, "type": "TEXT", "location": { "l": 304.8, "t": 390.72, "r": 346.56, "b": 377.28 }, "text": "☐ Cash", "reading_order": 42 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 306.662, "t": 388.983, "r": 315.902, "b": 380.184 }, "text": "q Cash", "field_kind": "radio", "label": "q Cash", "pdf_field_name": "Group5", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 43 }, { "page": 1, "type": "TEXT", "location": { "l": 304.32, "t": 374.64, "r": 534.96, "b": 360 }, "text": "Check (payable to Kentucky State University)", "reading_order": 44 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 306.662, "t": 373.144, "r": 314.582, "b": 364.345 }, "text": "q Check (payable to Kentucky State University)", "field_kind": "radio", "label": "q Check (payable to Kentucky State University)", "pdf_field_name": "Group5", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 45 }, { "page": 1, "type": "TEXT", "location": { "l": 305.04, "t": 358.08, "r": 411.6, "b": 343.68 }, "text": "Payroll Deduction", "reading_order": 46 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 306.222, "t": 357.305, "r": 314.142, "b": 348.065 }, "text": "q Payroll Deduction", "field_kind": "radio", "label": "q Payroll Deduction", "pdf_field_name": "Group5", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 47 }, { "page": 1, "type": "TEXT", "location": { "l": 304.8, "t": 326.4, "r": 409.44, "b": 312 }, "text": "Credit Card: Visa", "reading_order": 48 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 374.858, "t": 325.187, "r": 382.778, "b": 316.387 }, "text": "q Master Card", "field_kind": "radio", "label": "q Master Card", "pdf_field_name": "Group6", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 49 }, { "page": 1, "type": "TEXT", "location": { "l": 372.48, "t": 310.08, "r": 449.76, "b": 296.16 }, "text": "Master Card", "reading_order": 50 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 374.419, "t": 309.348, "r": 382.338, "b": 300.988 }, "text": "q Discover", "field_kind": "radio", "label": "q Discover", "pdf_field_name": "Group6", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 51 }, { "page": 1, "type": "TEXT", "location": { "l": 372.72, "t": 294.48, "r": 433.2, "b": 280.56 }, "text": "□ Discover", "reading_order": 52 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 374.419, "t": 293.069, "r": 382.338, "b": 284.269 }, "text": "q American Express", "field_kind": "radio", "label": "q American Express", "pdf_field_name": "Group6", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 53 }, { "page": 1, "type": "TEXT", "location": { "l": 372.24, "t": 278.16, "r": 477.6, "b": 264 }, "text": "American Express", "reading_order": 54 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 374.858, "t": 277.23, "r": 382.338, "b": 268.43 }, "text": "q American Express", "field_kind": "radio", "label": "q American Express", "pdf_field_name": "Group6", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 55 }, { "page": 1, "type": "TEXT", "location": { "l": 304.08, "t": 244.8, "r": 566.88, "b": 232.08 }, "text": "Card #:_____", "reading_order": 56 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 335.16, "t": 247.96, "r": 565.2, "b": 234.36 }, "text": "Card", "field_kind": "text", "label": "Card", "pdf_field_name": "Card", "pdf_field_type": "Text", "reading_order": 57 }, { "page": 1, "type": "TEXT", "location": { "l": 303.84, "t": 228.48, "r": 566.88, "b": 215.52 }, "text": "Exp. Date: ___", "reading_order": 58 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 350.16, "t": 231.44, "r": 565.2, "b": 218.28 }, "text": "Exp. Date", "field_kind": "text", "label": "Exp. Date", "pdf_field_name": "Exp Date", "pdf_field_type": "Text", "reading_order": 59 }, { "page": 1, "type": "TEXT", "location": { "l": 304.8, "t": 212.16, "r": 564, "b": 199.2 }, "text": "Security Code: ___", "reading_order": 60 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 367.92, "t": 215.48, "r": 482.88, "b": 202.32 }, "text": "Security Code", "field_kind": "text", "label": "Security Code", "pdf_field_name": "Security Code", "pdf_field_type": "Text", "reading_order": 61 }, { "page": 1, "type": "TEXT", "location": { "l": 305.28, "t": 197.04, "r": 567.6, "b": 184.32 }, "text": "
\"Image\"
\n", "reading_order": 62 }, { "page": 1, "type": "TEXT", "location": { "l": 34.8, "t": 174.48, "r": 187.68, "b": 161.28 }, "text": "Designate my contribution to:\nWhere the need is the greatest", "reading_order": 63 }, { "page": 1, "type": "TEXT", "location": { "l": 193.92, "t": 175.44, "r": 363.6, "b": 161.76 }, "text": "□ Where the need is the greatest", "reading_order": 64 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 194.469, "t": 174.275, "r": 202.388, "b": 165.476 }, "text": "q Unrestricted Scholarship Fund", "field_kind": "radio", "label": "q Unrestricted Scholarship Fund", "pdf_field_name": "Group7", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 65 }, { "page": 1, "type": "TEXT", "location": { "l": 192.48, "t": 159.6, "r": 361.68, "b": 145.92 }, "text": "Unrestricted Scholarship Fund", "reading_order": 66 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 194.909, "t": 157.996, "r": 202.388, "b": 150.077 }, "text": "q Other ________________________________________________________", "field_kind": "radio", "label": "q Other ________________________________________________________", "pdf_field_name": "Group7", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 67 }, { "page": 1, "type": "TEXT", "location": { "l": 191.76, "t": 143.52, "r": 577.44, "b": 129.36 }, "text": "Other ___", "reading_order": 68 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 240, "t": 145.04, "r": 576, "b": 131.28 }, "text": "q Other", "field_kind": "text", "label": "q Other", "pdf_field_name": "q Other", "pdf_field_type": "Text", "reading_order": 69 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 194.909, "t": 142.157, "r": 203.708, "b": 132.918 }, "text": "q Other ________________________________________________________", "field_kind": "radio", "label": "q Other ________________________________________________________", "pdf_field_name": "Group7", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 70 }, { "page": 1, "type": "TEXT", "location": { "l": 35.52, "t": 117.84, "r": 576.48, "b": 104.16 }, "text": "SIGNATURE: ___ DATE: ___", "reading_order": 71 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 98.04, "t": 121.2, "r": 416.04, "b": 105.84 }, "text": "SIGNATURE", "field_kind": "signature", "label": "SIGNATURE", "pdf_field_name": "SIGNATURE", "pdf_field_type": "Signature", "reading_order": 72 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 450, "t": 121.2, "r": 576, "b": 105.84 }, "text": "DATE", "field_kind": "text", "label": "DATE", "pdf_field_name": "DATE", "pdf_field_type": "Text", "reading_order": 73 }, { "page": 1, "type": "TEXT", "location": { "l": 111.84, "t": 99.84, "r": 500.64, "b": 85.92 }, "text": "Please return this completed form to the Office of Institutional Advancement", "reading_order": 74 }, { "page": 1, "type": "TEXT", "location": { "l": 81.84, "t": 81.12, "r": 529.44, "b": 67.2 }, "text": "Kentucky State University | 400 East Main Street Hume Hall Suite 202 | Frankfort, KY 40601", "reading_order": 75 }, { "page": 1, "type": "TEXT", "location": { "l": 204.48, "t": 63.12, "r": 408.72, "b": 49.44 }, "text": "advancement@kysu.edu | 502-597-5500", "reading_order": 76 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 32.6623, "t": 28.3044, "r": 80.1656, "b": 12.1723 }, "text": "Reset Form", "field_kind": "button", "label": "Reset Form", "pdf_field_name": "Reset Form", "pdf_field_type": "Button", "reading_order": 77 } ] } ]