ne PRIVACY ACT MATERIAL RE MOVED MEDICAL EVALUATION This is to certify that I have determined that Eberline -_ Instrument Corporation employee, has no unusual medical conditions or physica] impairments that would limit his normal duties of employment. Base Line Blood Counts: White Cel] with Differential Hemoglobin DfNormal Date S/inph MK Normal // Abnormal /7Abnormal hysician's, Please type: William J. Mitchell, M. D. Signature Name 8100 Constitution Pl., N. E. Street and No. Albuq., New Mexico 293-1616 PRIVACY RIAL ACT MATE REMOVED 87110