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1(4)
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Form
674-2
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Age
4
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Weight
9-6
2(2)
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Form
23290-0
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Age
4
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Weight
9-6
3(8)
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Form
843-6
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Age
4
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Weight
9-6
4(1)
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Form
9325-62
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Age
4
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Weight
9-6
5(6)
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Form
75503-3
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Age
4
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Weight
9-6
6(7)
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Form
773-254
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Age
5
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Weight
9-6
7(10)
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Form
8075-74
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Age
5
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Weight
9-6
8(9)
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Form
987-5
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Age
4
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Weight
9-6
9(3)
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Form
83335-5
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Age
5
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Weight
9-6
10(5)
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Form
50787-8
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Age
5
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Weight
9-6