PRIVACY ACTMATERIAL RE MOVED ay . MEDICAL EVALUATION This is to certify that I have determined thatEberline Instrument Corporation employee, _., _ 7 - has no unusual medica} conditions dr physical ‘Impairments that would limit his normal duties of employment. Base Line Blood Counts: White Cell with Differential Hemoglobin J¥ Normal Date 6~ 22-7 / Z Af Normal /7 “, ' // Abnormal | - tyne MWhsrtMP Physician's Psnature f a piéase type: Signature Name Street and No. City State ) Zip Telephone JAMES J. SHARIPE. FAL D. 4. 1512 TEXAS ST,N, 5. ALBQIMQUaZ NEW MEXICO &7i1e PRIVACY ACT MATERIAL REMOVED .