r HRS-H Form 3041, MAY 80(Replaces previous editions and MCH 304) EFTA01710123 IttACIMIT FLORIDA CERTIFICATE OF IMMUNIZATION (HRS 680 - PART A) kFtiridi S•attees 232 0321 FOR CHILDREN WHO HAVE COMPLETED ALL REQUIRED IMMUNIZATIONS FOR SCHOOL ATTENDANCE DATE 3F BIRTH (BLU S NAME DOCTCR: FART A OF TH