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N 1. Be sure that all items are filled in before forwarding. Makre definite statements in all instances. 2. Give age in years., height in inches, weight in pounds, stating amount of clothing entering into weight. 8. State what teeth are missing and existing dentistry such as crowns plates, etc. State number of opposed molars. TT 9. Flat foot - state whether or not any inconvenience exists. n. Chest measurements should be in total inches. 12. Actual 20 vision should be stated determined on proper letters for correction. foot distance as 20/20/ 20/50. 20/100. If glasses are worn state 3 Hearing should record whispered voice at 15 feet 15/15. 10/15. etc. 3.5 x E a 3 .T. 2 3 J 5 BEKNCE 3

Page data

Page
63
Source index
0
Type
photo
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Size
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Document data

ID
2661132
Core
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Type
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Page context
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