Prescription for Dr. Goldbaum to Sign

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Date:               November 13, 2012

Physician:        Dr. Mark Goldbaum, M.D., 3020 Rucker Avenue, Everett WA 98201

Patient:           Every resident of Snohomish County who receives Everett Utility District water, including those who live in homes and apartment buildings and who attend schools with lead water pipes and lead service lines, including infants, pregnant mothers, diabetics, those with kidney disease and on kidney dialysis, those on kidney dialysis, those with thyroid disease, those with osteoporosis and brittle bones, those who are chemically sensitive, and those who are allergic to fluoride.

Drug:               Water containing dilute fluorosilicic acid, hydrogen fluoride, lead, arsenic, and orthosilicic acid – which leaches lead from pipes.

Expiration:      No expiration. All may consume this prescription for the rest of their lives.

Quantity:         No limit. Everyone can drink as much fluorosilicic water as he or she wishes,

______________________________
Mark Goldbaum, M.D.

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