Epstein Secrets

AL Cumulative Folder DATA PROCESSOR CONFIRMATION I confirm that the grade/course change has been implemented. SIGNATUR /A? y DATE PRINT NAME Copy - Office File EFTA01709722 WI LLLLL P.0. Box 3050 Bcca Raton, FL 33431.095..) Attn: Boca Matl Unit AV 01 048 153 993048229 A..€0OT 'ROYAL PALM BtACM, FL 35

ALTH HISTORY (Serious Illnesses Inures explain) (attach narrative it additonal space needed) C. I ARARATARY Ina inelinlaelli e Tuberculin test Sickle Cell type date result NAME: TITLE: ADDRESS: (Please Print) r-rdl- OH 3040. 10116 (lieplooli 14R5-14 Form 3040 which easy be used) Mock Plumbot. 5

IGNATURE CF AREA ADMINISTRATOR L 0 DATE DATA PROCESSOR CONFIRMATION Sic 1/1,31ek DATE PBSD 0797 (REV 9/12/2001) ORIGINAL • Cumulative Folder Copy - Office File EFTA01709896 - A c:r=== Spring 2003 Florida Comprehensive Assessment Test (FCAT) SUNSHINE STATE STANDARDS Grade 10 Student Report r and Name

ir (attach narratrve if additional space needed) C. LABORATORY (a, indicate) Hempeiptyin/Hernatocrir Stool (O & P) Tuberculin test Leao Sickle Cell type date results NAME: FAMit y talee rtrn -ra TITLE: TV) P . CENTER Ntint atii J. ADDRESS: Royal Palm Beach, F/ 57) 7 95. 4773 (P

RIGINAL - Cumulative Folder DATA PROCESSOR CONFIRMATION I confirm that the grade/course change has been implemented. siGvA PRINT NAME -oc DATE Copy - Office File EFTA01710228 JOENT NAME: tai :THDATE Verified by WW1 CoAlkalis: G Yes G No a No. What Typo Verification? iTHPLACE: Dad,p, RREN lie let

Illnesses Injuries: explain) (attach narrative it additional space needed) C. LABORATORY Hemoglobin/Hematocrit Stool 1O & P) Tuberculin test: Sickle Cell Lead Authorized Signature OH 3040. 10190 (Replaces NRS-li Form 3040 which may be used) (Slack Number 5741-000-3040-2) EFTA01710221 ERs Studen