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VIDUALLY OR IN GROUPS. WEER I NO (261 SODIUM MUORIOt: • ur run vn PWNW An IN THE SODIUM FLUORIDE PROGRAM WM NO EFTA01709936 BACK TRICE or PALM BEACH COUNTY - NEW/RETURNING STUDENTS REGISTRATION DOI STUD [If 4(1 WEE WITH ICKES& I OOHS PARENTS 0 MOTHER 9 TAHITI. 0 SHARED CUSTODY . 7; OTHER • WI T

V (IS) NAME OF SCHOOL TRANSFERRING FROM (20) CITY OR LOCATION (21) LAST ArrEiroANCE DATE (22) LAST GRADE LEVEL (23) LAST PUSUC SCHOOL ATTENDED IN PALM BEACHCOUNTY (24) DATE ATTENDED IN PBC MW4PAggN14041a0AVAlticiN , FREE OR REDUCED (25) Students will receive non-invasive heath screenings pursuant to Florid

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onymous' Call Rejection Star 98 Access fo r Voice Mail 2. rodent Universal 60 CO 3. IrnOreenCY 912 Charge. This charge la billed cc behalf of Palm Death County. 4. FCC Authorised Charge for Vetwork Access 4.50 S. Teleommunicationa Access System Ant Sercharge .15 Total Basic Servidlea 37.87 Optional f

Rejection Star 9$ Access tollippil Voice nail 2. Federal Delveratel Se go .70 2. letergenCry 511 Charge. This charge la billed on behalf of Palm Peach County. .60 4. FCC AUG12071144 Charge for Network Assess 4.50 S. Teleconnunia•tloas Access Syaten Act Surcharge .26 Total R&Ilie SOrtiCOM 37.65 o

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i_EPHONE NO. (581)8386470, FAX NO. (581)838-6491. YOU ARE HEREBY COMMANDED TO BE AND APPEAR BEFORE THE STATE'S ATTORNEY or Ns assistant, In and for Palm Beech County, Ftorlds, at 401 North Dtde Highway, Meat Palm Beech, Florida for interrogprtIon and the truth to speak, M a cerbdn matter petting and inter InteatI

iir, If calling from within the Florida BellSouth service area 611 Internet, www.bellsouth.com Detailed Statement of Charges Service Provider Summar," Listed below are Local Toll and Long Distance Providers for your line(s). Line Number Local Toll ComPanY 561 832-4117 Not Resigned Not Assign