Epstein Secrets

El Other This page has been updated OV DATE: 4a97 a5- BY: DATE: PBSD 0269 (REV. 1/88) EFTA01709618 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, s. 10D-3.088, F.A.C. and s. 10M-12, F.A.C. LAST NAME PARENT OR GUARDIAN FIRST MI DOB MCYDAAR Child's SS# (optional)

1 - Inadequate effort and participation: parent conference requested FINE ARTS REPORT Marking Period 1st 2nd 3rd 4th 3 3 Art Music _3 33 Physical Education 3 3 ,3 School _ Principal SOCIAL DEVELOPMENT/CLASSROOM STUDY HABITS Please work on the area(s) that have a check (I). Marking Period 1st 2nd

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nadequate effort and pareeipation; porent conference requested FINE ARTS REPORT Marking Period 1st 2nd 3rd 491 Art 3 3 3 3 Music 3 3 3 Physical Education 3 3 3 3 PARENT/GUARDIAN/TEACHER Grade 0(P Special Session Marking Period CONFERENCE 1st 2nd 3rd 4th If Special Session program is indicate

TY MIAMI FL 33188.0001 NEW Charges Past Due Total Now Due AUG 21 2003 $228.20 EFTA01710059 • • I' FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes; rules 640-3.011.65C-22.006, 65C-20.01I, Florida Administrative Code LAST NAME PARENT OR GUA

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FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.03Z, 402.305, 402.313, Florida Statutes; rules 640-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code LAST N FIRST NAME MI

ng Handwriting/Penmanship Social Studies Science/Health Grades not given this nine week FINE ARTS REPORT Art Music Marking Period 1121EIMES Physical Education PARENT/GUARDIAN/TEACHER CONFERENCE Conference conducted (Indicate date(s)) Marking Period 1st 12nd 3rd 4th Grade (.5 Year 2000-2001 SOCIAL

TY MIAMI FL 33188.0001 NEW Charges Past Due Total Now Due AUG 21 2003 $228.20 EFTA01727112 • • I' FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes; rules 640-3.011.65C-22.006, 65C-20.01I, Florida Administrative Code LAST NAME PARENT OR GUA

s A a- Aci- ,81" Ertl C Science / 5 5 S *Sri— ,r4 Health 4, a a- a- /7- Music 5. 5 sst- ,..5.4 5 II- ...0-: Art 5 SI- ,54- S )e--- .5/— Physical Education 5 5 -.5' S. C f Promoted or Retained Teacher 2 4, (7‘ EFTA01727105 Elementary Test Record Student CTBS/4 FORM/ LEVEL A-11 GRADE • 1.