PRIVACY ACT MATERIAL REMOVED
MEDICAL EVALUATION
This is to certify that I have determined that Eberline
Instrument Corporation employee,
>
has no unusual medical conditions or physical impairments
that would limit his normal duties of employment.
Base Line Blood Counts:
White Cell Unta
Hemoglobin
Date tune 26
£7 Norinal
1977
Wow
T/ Abnorma]
// Abnormal
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rigsteasSignature
Please type:
Philip S. Tavlsee, MD,
Signature Name
1 =
Mi
Tydeewna
av4
tnh rode
Street and No.
santa Fe, li, i,
City
State
S7ao 1
L1Tp
2m Si8
elephone
D
REMOVE
PRIVACY ACT MATERIAL