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Case Verification Number: 2019129204802EB

Report prepared: 05/09/2019

Company ID: 1284996
Company Name: ESSG - Corporate Management Group
Client Company ID: 1284996
Client Company Name: ESSG - Corporate Management Group

Name: Edward Belina
Date of Birth: 01/09/1999
U.S. Social Security Number: ***-**-9371
Employee's First Day of Employment: 05/09/2019
Citizenship Status: U.S. Citizen

List B Document: Driver's license or ID card issued by a U.S. state or outlying possession
Document Subtype: State Issued ID Card
Document Number: *********3109
Expiration Date: 01/09/2020
State: Minnesota
List C Document: U.S. birth certificate (original or certified copy)

Current Case Result: Closed
Case Submitted By: Renee Flynn
Case Status: Employment Authorized
Reason for Closure: Employment Authorized Auto Close