Epstein Secrets

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

nn kesyon ki gen pi plis difikilte ladan yo. 4 Elev sa a gen siksé nan matyé ki te gen difikilte ladan yo nan egzamen Sunshine State Standards la. Yon elev ki nan 4yém Nivo reponn pitt, kesyon egzamen yo körékteman, men li ka gen kék siksé sélman nan kesyon ki sanble yo gen pi plis difikilte ladan yo.

WL MRS- /I ion 3040, Mar 9 (Stock Weber: 5744.000.3040-2) Mod JO SPI *Ostlers) ---4110ato EFTA01709961 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 23L037., a. 20D4.088, F.A.C. and s. 10M-12, P.A.C. LAST NAME PARENT OR GUARDIAN FIRST MI DOB MOIDNYR Child's SS* (optional)

nn kesyon kl gen pi plis difikilte ladan yo. 4 Elév sa a gen siksé nan matyé ki te gen difikilte ladan yo nan egzamen Sunshine State Standards la. Yon elev ki nan 4yern Nivo reponn pifb kesyon egzamen yo köréldeman, men Ii ka gen kök siksé sélman nan kesyon ki sanble yo gen pi plis difikilte ladan yo.

(46f DATA ENTRY COMPLETED BY DATE S/ DATE PBSD 0636 (REV. 4/6/20015.29/2001) page 2 of 2 EFTA01710389 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 Directions: • Enter all appropriate doses and

nn kesyon kl gen pi plis difikilte ladan yo. 4 Elév sa a gen siksé nan matyé kl te gen difikilte ladan yo nan egzamen Sunshine State Standards la. Yon elev ki nan 4yém Nivo reponn pile kesyon egzamen yo kärékteman, men Ii ka gen kék siksé selman nan kesyon ki sanble yo gen pi plis difikilte ladan yo.