document: type: license first_name: Susan last_name: Smith middle_name: Q address1: 1 Microsoft Way address2: Apt 3 city: Bayside state: NY zipcode: '11364' dob: 10/06/1938 phone: +1 314-555-1212 state_id_number: '123456789' state_id_type: drivers_license state_id_jurisdiction: 'NY'