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1(12)
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Form
623-167
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Age
5
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Weight
8-12
1(10)
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Form
21-5223
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Age
3
-
Weight
8-3
2(1)
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Form
3-26168
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Age
4
-
Weight
8-9
3(2)
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Form
28-9621
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Age
6
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Weight
8-2
4(3)
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Form
17657-5
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Age
5
-
Weight
8-9
5(4)
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Form
1437-33
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Age
6
-
Weight
8-9
7(6)
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Form
229-433
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Age
4
-
Weight
8-9
8(7)
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Form
5-271
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Age
3
-
Weight
8-3
9(8)
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Form
1205-38
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Age
3
-
Weight
8-3
10(9)
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Form
26-5615
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Age
3
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Weight
8-3
11(11)
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Form
432-275
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Age
4
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Weight
8-9
12(13)
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Form
661-125
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Age
7
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Weight
8-9