FF-12-A-1
Jonestown, Port Kaituma
Northwest District
Cooperative Republic of Guyana
I, Danny K. Kutulas, being duly sworn, declare that I release all medical records and documents pertaining to me to Dr. Carlton Goodlett.
Subscribed to and sworn to me,
a commissioner of oaths for the
Republic of Guyana.
Dated August 5, 1977
Witnessed:
—–
FF-12-A-2
Jonestown, Port Kaituma
Northwest District
Cooperative Republic of Guyana
I, Dave B. Jackson, being duly sworn, declare:
I, Dave B. Jackson, release all medical records and documents pertaining to me to Dr. Goodlett.
Subscribed to and sworn to me,
a commissioner of oaths for the
Republic of Guyana.
Dated August 5, 1977
Witnessed:
—–
FF-12-A-3
Jonestown, Port Kaituma
Northwest District
Cooperative Republic of Guyana
I, Mary Louise Shavers, being duly sworn, declare:
I, Mary Louise Shavers, request that all my medical records be released to Dr. Carlton Goodlett.
Subscribed to and sworn to me,
a commissioner of oaths for the
Republic of Guyana.
Dated August 5, 1977
Witnessed:
—–
FF-12-A-4
Jonestown, Port Kaituma
Northwest District
Cooperative Republic of Guyana
I, Jack D. Barron, being duly sworn, declare:
I, Jack D. Barron, hereby release all medical records and documents pertaining to me to Dr. Carlton Goodlett.
Subscribed to and sworn to me,
a commissioner of oaths for the
Republic of Guyana.
Dated August 5, 1977
Witnessed:
—–
FF-12-A-5
Jonestown, Port Kaituma
Northwest District
Cooperative Republic of Guyana
I, Earnestine T. March, being duly sworn, declare:
I, Earnestine T. March, would like my medical reports and records released to Dr. Carlton Goodlett.
Subscribed to and sworn to me,
a commissioner of oaths for the
Republic of Guyana.
Dated August 5, 1977
Witnessed:
—–
FF-12-A-7
Jonestown, Port Kaituma
Northwest District
Cooperative Republic of Guyana
I, Liane Harris, being duly sworn, declare:
I, Lianne Harris, hereby release all medical records and documents pertaining to me to Dr. Carlton Goodlett.
Subscribed to and sworn to me,
a commissioner of oaths for the
Republic of Guyana.
Dated August 5, 1977
Witnessed:
—–
FF-12-A-19
Jonestown, Port Kaituma
Northwest District
Cooperative Republic of Guyana
I, Jeffrey J. Carey, being duly sworn, declare:
I hereby release all medical records and documents pertaining to me to Dr. Carlton Goodlett.
Subscribed to and sworn to me,
a commissioner of oaths for the
Republic of Guyana.
Dated August 5, 1977
Witnessed: