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inical reasoning or evidence for exemption: DOE Code 3 I cestift that the physical condition of this child Lt nth that immenitatiomNat indicated in Pan C above is medically caltraindicated. Physician or Clinic Name: (flint or stamp) Address: D44 610, 1196. dada= la (4Omo (SIM Maher 574.11O:MX1106)
s are not awarded based on he FCAT Norm-Referenced Test scores. Informes FCAT (SpanIsh) Se preparan informes separados para los exámenes del FCAT de lectura y matemáticas, ciencias y redacción según las normas estatales Sunshine State Standards. También se imprime otro informe por separado para los exámenes de lectu
2 mentions1 same-page
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cal reasoning or evidence for exemption: DOE Code 3 I certify that he physical condition of this child is such that immunization(s) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Address. Physician Signature. DN 680, &NS repbces earlier ed
s are not awarded based on ie FCAT Norm-Referenced Test scores. Informes FCAT (Spanish) Se preparan informes separados para los exámenes del FCAT de lectura y matemáticas, ciencias y redacción según las normas estatales Sunshine State Standards. También se imprime otro informe por separado para los exámenes de lectu
2 mentions1 same-page
Page ?Same page
nical reasoning or evidence for exemption. DOE Code 3 1 cent that the physical condition of this child is such that immunization(s) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: DH 680, 8/2000, obsoktm tallitt
are not awarded based on the FCAT Norm-Referenced Test scores. Informes FCAT (Spanish) Se preparan informes separados para los exámenes del FCAT de lectura y matemáticas, ciencias y redacción según las normas estatales Sunshine State Standards. También se imprime otro informe por separado para los exámenes de lectu
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Leon Black
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Sunshine State
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Un estudiante del Nivel 5
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Este estudiante tiene un
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Description of Grade 10
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CC
Complete Part C
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Se Harcourt
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Chemical
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Earth
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DB
Doug Band
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de las normas Sunshine State Standards
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