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414.24, "b": 275.52 }, "text": "- ___ Unknown", "reading_order": 59 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 351.948, "t": 286.772, "r": 363.995, "b": 276.957 }, "text": "Unknown", "field_kind": "checkbox", "label": "Unknown", "pdf_field_name": "Check Box19(DSForm)", "pdf_field_type": "CheckBox", "reading_order": 60 }, { "page": 1, "type": "TEXT", "location": { "l": 96.48, "t": 267.36, "r": 475.92, "b": 254.4 }, "text": "IF YOU ARE SEEKING A PROTECTION ORDER FOR ANOTHER PERSON (SUCH AS A", "reading_order": 61 }, { "page": 1, "type": "TEXT", "location": { "l": 96.24, "t": 255.6, "r": 445.92, "b": 243.36 }, "text": "CHILD), PLEASE GIVE THE FOLLOWING INFORMATION FOR THAT PERSON", "reading_order": 62 }, { "page": 1, "type": "TEXT", "location": { "l": 96, "t": 234, "r": 314.64, "b": 221.04 }, "text": "Person's name: _____\nDate of birth: _____", "reading_order": 63 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 159.12, "t": 243.84, "r": 311.76, "b": 223.68 }, 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"label": "F", "pdf_field_name": "Check Box21(DSForm)", "pdf_field_type": "CheckBox", "reading_order": 73 }, { "page": 1, "type": "TEXT", "location": { "l": 95.76, "t": 167.28, "r": 157.68, "b": 153.6 }, "text": "Person's race:\nAmerican Indian/Alaskan Native", "reading_order": 74 }, { "page": 1, "type": "TEXT", "location": { "l": 189.12, "t": 167.04, "r": 431.04, "b": 155.04 }, "text": "— American Indian/Alaskan Native\n— Black", "reading_order": 75 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 194.948, "t": 167.348, "r": 209.228, "b": 156.045 }, "text": "American Indian/ Alaskan Native", "field_kind": "checkbox", "label": "American Indian/ Alaskan Native", "pdf_field_name": "Check Box22(DSForm)", "pdf_field_type": "CheckBox", "reading_order": 76 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 381.339, "t": 168.092, "r": 395.619, "b": 156.417 }, "text": "Black", "field_kind": "checkbox", "label": "Black", "pdf_field_name": "Check Box25(DSForm)", "pdf_field_type": 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132.24 }, "text": "___ Hispanic", "reading_order": 82 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 194.948, "t": 143.166, "r": 209.6, "b": 134.094 }, "text": "__ Hispanic", "field_kind": "checkbox", "label": "__ Hispanic", "pdf_field_name": "Check Box24(DSForm)", "pdf_field_type": "CheckBox", "reading_order": 83 }, { "page": 1, "type": "TEXT", "location": { "l": 376.56, "t": 144.72, "r": 446.64, "b": 132 }, "text": "___ Unknown", "reading_order": 84 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 380.967, "t": 144.282, "r": 395.619, "b": 134.467 }, "text": "Unknown", "field_kind": "checkbox", "label": "Unknown", "pdf_field_name": "Check Box27(DSForm)", "pdf_field_type": "CheckBox", "reading_order": 85 }, { "page": 1, "type": "TEXT", "location": { "l": 94.32, "t": 102.48, "r": 218.64, "b": 90 }, "text": "Last Updated November 22, 2005", "reading_order": 86 } ] } ]