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ATTACHMENT 2 DD Form 3150 — “Certification of Vaccination” ‘CUI (when fled in) (CERTIFICATION OF VACCINATION ere morn, ‘AGENCY DISCLOSURE NOTICE pte ering on fi cae al ersten etatesta arg 2 rs pont, ee reviewing nr sewn seat dus wuss, party sa marian Do can meas, ot Cres at venrg enc oromatan So coments eparing tabard asain any sr spos of ctucon ot neratan eur suppssae eg he sr ae Depart Ose, achan eae Sram, owe ae nd ons oa-lrnatonnachane@ran espa tru be tr ote 7) sh pont sober atx nei an soy sig wear wh actor ooo hanes ay sare se at evans ren tattonEe Sor 9 pm ieenucis sututst an ptemnetag scan game wees Use URE NB sates etcuns oncom een cat Matters Ro comsg pene nn aeetammgrs a cha yee acs ase Se erences aaa ean aby cree arnt STS Rm Freie er ce br ete epee iscen rataramacs nates aencc Stns Serer reme sae ecvoereennnan teen ngaaeeoman aan ISecteorecne conn spate nares as Dana area eT ely Semone seenveen memmeetitaciesrncae tate Rtanteatoe arene ens eect omer castes mute ooear eae Soar ce tne crater eet iar ean toe cy Saad nanan aero aeae Terme cae rms ea steers aan memes ean esse Sins tere tarantino nh ae eta ee ser cna eat a EM Le ee ee eae ipecente cee seemeeaartaaes a eis ie metre are at aera Secacmrcasmansntens vavmatin menerme creo orbiter aes Beacham sna cay aan rene sTRUCTONS: Th om pd be cote by sionenaoyms, ome anrar enpoyns, anlar naval agin ASNT "NAME ae Ps 7.060 1 NUMBER: 5. PLEASE CHECK THE BOX BELOW THAT CONCIDES WHTH YOUR CVI“ VACCINATION STATUS tam ty aon Indo re oer ly esha to weet sr cain esc ots nodes COMO 18 ven eg, Pe Nach Notana ort wees ater ecaunga ang toc a endo vase op, rs & wae anseh (Lye yw ny nf Monroy sei aie hee ced my tal tary [ree note cid, [teeta spon Init tho noon ret compat hem wi sesureao be ty acini opponent ond yeu ar cl lgoi asa poses wo te hav hl ones Sena esour hole you hv ey acs sl a iy acento youeces orl Soa ran ho wen og, fn You wt on ty ‘Sesrabd o you oe tee meh et ori dar one aso yar vasPeten minors unto abst oy toate, 5 rom natn internation goed efor acct eee ee ‘Care (revo SIGNATURE Fa Nae) DO FORW S150, SEP ROT CUl(when filediny) canst kan me Seep matimmtnaet

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