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COMMONWEALTH OF KENTUCKY Certificate Issuing Office …

EPID-230 (Rev 06/2017) Certificate Issuing Office Name and Address COMMONWEALTH OF KENTUCKY CERTIFICATE OF IMMUNIZATION STATUS Name of Child: Birthdate:

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  Name, Commonwealth, Kentucky, Certificate, Office, Immunization, Status, Issuing, Commonwealth of kentucky certificate, Certificate issuing office name and, Commonwealth of kentucky certificate of immunization status

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