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EFTA01710352
. • Sign and date appropriate certificate (A-1, A-2, B, or C) on reverse side of form. • If the child is presenting for the 7th grade requiremeitt-MilVilierlias: preximusly filed a Certificate of Immunization (680A or 680A-1) with their current Florida school, fill iii doer( ; areas beBitvantiComplete Part A
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