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Retain Mr Indicate: Promote (P) Retain (R) - Indicate: Promote (P) Retain (A) 01-93d0 EFTA01709793 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, s. 64D-3.011, F.A.0 and s. 65C-22.006, F.A.C. LAST NAME J PARENT OR GUARDIAN D i r e t t i o n C • Enter all appropri
ow grgdo level 3 ... V i. Z q- It Composition T2 15 & b Language B ,b ?) 75 1.2 Pr Spelling if-\- B Handwriting/Penmanship e' 5 Ci 2> Social Studies '8 A- 3 Pr Science/Health 3 pt "P> le> Grades not given this nine weeks • MARKING CODES FINE ARTS gnding effort and participation .r4atiii4g
••• --._.. .P.tyar•.b= fietv: EFTA01709855 EFTA01709856 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402305, 402.313, Florida Statutes; s 64D-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code Fl T NAME MI CHILD'S SS#
1 791 811 72 61 71 61 71 71 6 EFTA01709880 Grades K - 8 Grade Enrolled K 1 2 Reading Spelling Writing a A Mathematics English 13 Social Studies -5 -5 Science S Art 4 Vocal Music Phys. Ed. Health S Library Instr. Music A.C.E. Computer CRS NAME GRD EARN ATT READING B 1,00 1.0
be between 1750 and 1856. NT-Not Tested NR-Not Reported Data Run Date: 11/22/2004 0115263 EFTA01710024 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032,8.64D-3.011, F.A.0 ands. 65C-22.00C F.A.C. FIRST Child'sSW (optional) MIAR IM DO MO/DA/YR STATEIMMUNIZATION ID#' Dire
03 Social Personal 7855010G ALP/FUNC ALTERNATIVE EDUCATION VE (Self-Contained) 7810010E Language Arts 7812010E Math 7820010E Science 7821010E Social Studies 7880010E Exploratory Vocational ESOL 1002010 M/J LA 2 THRU ESOL 1002150 M/J ESOL L/S/R/W 2 Parents will be required to sign all necessary paperw
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
) O n () Reading Q-- )Q± if' A /F. iii English 4 J3 ,514 R-- ---- Mt- Spelling azz ip h ,.D4- Handwriting . 5 S Mathematics ge 6 A 'Social Studies 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/— P
I PHYSICIAN OR CONIC NAME (PLEASE PRINT) JATELY IMMUNIZED AGAINST 'DANCE. -//,1/2,73 DATE EFTA01710101 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, a 10D-3.088, F.A.C. and S. 10M-12, F.A.C. ATE PARENT OR GUARDIAN FIRS I MI DOB moinAnta Child's 5Stt (optional) ST
redits n2 Ma tics 2 credits M 3 credits English 0000 Laboratory Science 2 credits Laboratory Science 3 credits Math or Science I credit Social Studies 3 credits Math 0.000 Social Studies 3 credits World History/Wodd Geography, 1 credit Laboratory Science 0.000 World History/World Geography,
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
) O n () Reading Q-- )Q± if' A /F. iii English 4 J3 ,514 R-- ---- Mt- Spelling azz ip h ,.D4- Handwriting . 5 S Mathematics ge 6 A 'Social Studies 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/— P
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