'| V tfp WEINZIMMER CLINIC 1211 South Gem At min PHYSICAL EXAMINATION Previous Injuries, Operations or Disease* Deformities from Injuries or otherwise VISION Without Glasses Right Eye 20/ Left Eye 20/ REMARKS: Physical,jdfade, A-Jpd____C____ D______ Best ultimate graaGcL-- Defects determining grading: Signed in presence of Medical Examiner Employee Signed.

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