Epstein Secrets

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)

ik la pi byen si w itilize yon nivo siksé kote 3 oswa plis se yon nöt ki nan nivo klas la oswa yon nöt ki pi wo pase nivo klas la. Nivo siksé elév yo Gen senk kategori siksé ki dekri nivo siksé elev yo pote nan kontni yo teste nan egzamen lekti ak matematik FCAT la. Pi gwo nivo a se nivo 5 epi pi pit

(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

ik la pi byen si w itilize yon nivo siksé kote 3 oswa plis se yon nät kl nan nivo klas la oswa yon nät kl pi wo pase nivo klas la. Nivo siksé elév yo Gen sank kategori siksé ki dekri nivo siksé elev yo pote nan kontnl yo teste nan egzamen lekti ak matematik FCAT la. PI gwo nivo a se nivo 5 epi pi pit

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

ik la pi byen si w itilize yon nivo siksé kote 3 oswa plis se yon nät ki nan nivo klas la oswa yon nät kl pi wo pase nivo klas la. Nivo siksé elév yo Gen senk kategori siksé ki dekri nivo siksé elév yo pote nan kontni yo teste nan egzamen lekti ak matematik FCAT la. Pi gwo nivo a se nivo 5 epi pi pit