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N: I 117` WAIF U 'CHM. - RANSF.FRRIRC Fun. l. I I. i 115. TAT; LII LAST %IMMO/14M (201 We O 1 t ItVLI •211 LAST P.IBLI: SCHOLL AT Et RUE U IN PALM BE AC‘ LUUN IT 122) DATE ATTENOID FREE OR REDUCED PRICE LUNCH AND HEALTH INFORMATION: (23) NATE YOU FILLED OUT AN APPLICATION FOR F FE I or FEOU:E(I
THE STUDENT A SINGLE PARENT^ Sin _I NO (23) HAS (Do Paid lee this school year in another Florida comfy as verified by receipt a H Paid fee in Pan Beach Count/ as verified by MONO # _..I I Exempt (25) ENTRY CODE: (26) ENTRY DATE: (27) WT DIST. j ADM j ESCL J ESE J MAD (28) TRANSPORTATION:
8 'SCHOOL BOARD OF PALM BEACH COUNTY ELEMENTARY STUDENT TRANSFE To Be Completed for All Transfers (Print or Type) Last Name (Legal) First Name Middle Initial A /6 Sex Grade (ace Code ESOL Status Psychological on fde Yes 0 Physical Exam on fde y Yc Immunization Dates: • Health Problems/High Risk
B. Epstein having personal knowledge and being duly sworn, deposes and says: 1. My office is located at 250 Australian Avenue South, 14m Floor, We Palm Beach, Florida. Its location has been well publicized in the news. 2. I met with my attorneys, Robert D. Critton, Jr. and Mark T. Luther, at 12:30 p.m.
IONS Official Name: EP syc.:70,.) (L Initial/Suffix) DC#: Race Sex Date of Birth Social Security # True Name: Alias/Nickname (Last, First, Middle Initial, Suffix) Maiden Name 11 Eye Color Body Build Birth City /County (L. Height- Ft/In. Weight Lc) (LC, Complexion Hair Col6r Sca ns/Marksfr
B. Epstein having personal knowledge and being duly sworn, deposes and says: 1. My office is located at 250 Australian Avenue South, 14m Floor, We Palm Beach, Florida. Its location has been well publicized in the news. 2. I met with my attorneys, Robert D. Critton, Jr. and Mark T. Luther, at 12:30 p.m.
ast, First, Middl4 Initial/Suffix) Leo) tel Zo -T3 Race Sex Date of Birth Social Security # DC #: True Name: Alias/Nickname (Last, First, Middle Initial, Suffix) Maiden Name I (LCi7 Height- Ft/M. Weight Complexion Halr Col6r 1> l Eye Color Body Build Sca ns/Marksfrattoos - Description and L
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