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Visual Acuity Record PLEASE PRINT IN BLUE OR BLACK INK ATTACH THIS COMPLETED RECORD TO YOUR MAIN APPLICATION P.O. Box 440367 Miami, Fl 331440367 (800) 4439353, ext. 273 (305) 4439353, ext. 470 Names
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The purpose of attach this completed record is to ensure that all relevant information is properly documented and submitted for review.
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Information such as project details, completion dates, relevant parties involved, and any other required information must be reported on attach this completed record.
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