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1(1)
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Form
65-4119
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Age
4
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Weight
8-6
2(2)
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Form
1277-23
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Age
4
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Weight
8-6
3(3)
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Form
2941-17
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Age
4
-
Weight
8-6
4(4)
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Form
5-1
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Age
5
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Weight
8-6
5(5)
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Form
2632-41
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Age
6
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Weight
8-6
6(6)
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Form
6428-70
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Age
5
-
Weight
8-6
7(7)
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Form
2/7353-5
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Age
5
-
Weight
8-6
8(8)
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Form
841364-
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Age
4
-
Weight
8-6
9(9)
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Form
31205-6
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Age
4
-
Weight
8-6
10(10)
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Form
15913-7
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Age
4
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Weight
8-6