tact Form Blood type: ri A- K A+ D AB- El AB Current Medications: Doctor's Name: Doctor's Name: In case of emergency, please contact: Name: Kishma Name: [Demitri Start Date: Date of Birth: Phone (other): Marital Status: Driver's License No: B- K B+ Friend Doctor's Phone: Doctor's Pho

mad, We can only handle this size boat via Jacksonville. Please see rate below: JAX to STT (via ro/ro service) Rate: $6500 bottom line Regards, Kishma EFTA_R1_00482735 EFTA01990180