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Tagged Image File Format  |  1995-09-06  |  516KB  |  507x339  |  24-bit (81,508 colors)
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OCR: SCHOOL DISTRICT 502 School District Student's Legal Name PROGRESS REPORT Preferred Name Grades 1/2/3 502 Address Czy/State OTP/DT/Td Student t (yellow) POLIO MMA HOPV/HOCV |MEDICAL |RELIGIOUS COMPLETE FOR ALL Name black) (red) Mother (green) purple) Emplo CERTIFICATE OF IMMUNIZATION 112323 Ja F M A PLAYGROUND REPORT STATUS Mrs. Davis Mrs. Somerville DISCIPLINARY REFERRAL FORM Date :_ Recess: STUDENT'S NAME RACE SEX Student Name: SCHOOL COURSE 1. Talking In Line NATURE OF PROBLEM FIRST SECOND THIRD FOURTH 2. Kicking the Ball_ Spitting REPORT REPORT REPORT REPOR ne after the READING Reading Comprehension Reads Independently Reads Fluenty Word Attack Skills Assignments