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El Other This page has been updated OV DATE: 4a97 a5- BY: DATE: PBSD 0269 (REV. 1/88) EFTA01709618 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 FIRST MI DOB MCYDAAR Child's SS# (optional)
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(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
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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
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Entities connected to both Condoleezza Rice and Legal Authority

Jeffrey Epstein
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Marc Rich
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George W. Bush
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Ghislaine Maxwell
PERSONLeon Black
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United States
LOCATION
Joi Ito
PERSONDoug Band
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Vicky Ward
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Samantha Power
PERSONMaria Farmer
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Michael Jackson
PERSONCourtney Wild
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Mao Zedong
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Harry Reid
PERSONFBI
ORGANIZATION
Palm Beach
LOCATIONthe Southern District
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Tampa
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Vince Foster
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