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REPLACE INDEPENDENT SCHOOL DISTRICT Food & Nutrition Services Department 814 E. Plaza Wesley, TX 78596 (956) 9696593 Fax (956) 9696596 SPECIAL DIET PRESCRIPTION FORM Name of Student: ___D. O.B.: ___Grade:
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956 969-6593 fax 956 is a form used for reporting certain foreign gifts and transactions.
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