EFTA01709600Set 10
2003-05-09100p26,354w
been updated
OV
DATE: BY: DATE:
4a97a5-
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 ... Date:
C41 680, II/96. obsolete* eel echunra (Sack Nernter 5740-000-0660.6)
EFTA01709620
FLORIDA CERTIFICATION OF IMMUNIZATION
Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes;
rules ... Address:
Date:
D11600. &2000, obtain., enIkr edition, (SI Numbyr: 5140400-0680-6)
EFTA01709622
FLORIDA CERTIFICATION OF IMMUNIZATION
Legal Authority: FLORIDA STATUTES 2.32.032, s. 10D-3.088, F.A.C
https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709600.pdf
EFTA01727087Set 10
2005-12-1637p13,398w
Charges Past Due Total Now Due
AUG 21 2003 $228.20
EFTA01727112
• • I'
FLORIDA CERTIFICATION OF IMMUNIZATION
Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes;
rules ... Itcr cdttIons (Steck Number: 5740-000-0680-6)
EFTA01727115
FLORIDA DFPARChegr OP
SALT
FLORIDA CERTIFICATION OF IMMUNIZATION
Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes;
rules
https://www.justice.gov/epstein/files/DataSet%2010/EFTA01727087.pdf
EFTA01710036Set 10
2005-12-1635p13,401w
Charges Past Due Total Now Due
AUG 21 2003 $228.20
EFTA01710059
• • I'
FLORIDA CERTIFICATION OF IMMUNIZATION
Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes;
rules ... Itcr cdttIons (Steck Number: 5740-000-0680-6)
EFTA01710062
FLORIDA DFPARChegr OP
SALT
FLORIDA CERTIFICATION OF IMMUNIZATION
Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes;
rules
https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710036.pdf
EFTA01710219Set 10
2001-07-0197p30,081w
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 DOB (MO/DA/YR ... Obsoletes previous
' (Stock Minter: 5744-000-3040.2)
EFTA01710222
SUR C fleala
• FLORIDA CERTIFICATE OF IMMUNIZATION (HRS 680 - PART A) (1+)
HRS.
OCl/AlliCra Of MUM, WO
(Florida Statutes 232.032)
FOR CHILDREN ... MEDICAL ALERT PH: (
SCREENING FOR VISION PROBLEMS Y CONTACT
EFTA01710236
igtecinAlt or nes
FLORIDA CERTIFICATE OF IMMUNIZATION (HRS 680 - PART A) (11
H3S (Florida Statutes 232.032)
FOR CHILDREN WHO HAVE
https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710219.pdf
EFTA01710352Set 10
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EFTA01710356
V., 09
FLORIDA CERTIFICATE OF IMMUNIZATION (HRS 680 - PART A)
flutida Statutes 232.032)
OF MALIII PAO
FOR CHILDREN
https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710352.pdf