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Employee Emergency Contact Information

Date:

Feb 7, 2024

Personal Information

Full Name

Monika Huerta

Address

9170 Arrow Rte

Street Address

Na

Apartment/Unit#

Rancho Cucamonga

City

CA

State

91730

Zip

Home Phone

9099068410

Cell Phone

9099068410

Emergency Contact Information

Contact #1

Full Name

Elvira Huerta

Address

9170 Arrow Rte

Street Address

Na

Apartment/Unit#

Rancho Cucamonga

City

CA

State

91730

Zip

Primary Phone

9092867151

Alternate Phone

9092867151

Relationship

Mom

Contact #2

Full Name

Veronika Smith

Address

9170 Arrow Rte

Street Address

Na

Apartment/Unit#

Rancho Cucamonga

City

Ca

State

91730

Zip

Primary Phone

9092236766

Alternate Phone

9092236766

Relationship

Sister

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