Epstein Secrets

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PROMOTED TO THE NEXT GRADE LEVEL AS OF: 06/14/00 • • FM-100•I Roy. II I Oil EFTA01709983 ASI4-31-C4P DENT RECORD/SUBJECTS 06/16/00 09.29.55 STUDER 351 GRADE 06 HR GOO PRO ST P SCHL CD NAME SEX F ETH W 0-PHASE ADD SCHL CD BIRTHD LAST SUB T 04/17/80 RECORD UPDT 04/17/00 LAST GRD UPDT 0

s I •• •r aM) (attach narrative if additional space needed) .:• C. LABORATORY (as indicated) • type Hernaglobin/Hematocrit Stool (O & PI Tuberculin lest " results dte Lead Sickle Cell NAME TITLE: ADDR (Pleas. NRS-N (Stock EFTA01709998 .ms 1%3 (344) OFFICE of VITAL STATISTICS CER

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