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1(1)
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Form
2177-75
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Age
4
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Weight
8-3
2(2)
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Form
45744-4
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Age
6
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Weight
8-8
3(3)
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Form
69070-7
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Age
4
-
Weight
8-1
4(4)
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Form
21523-6
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Age
4
-
Weight
8-8
5(5)
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Form
14592-3
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Age
4
-
Weight
8-8
6(6)
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Form
4343-36
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Age
4
-
Weight
8-1
7(7)
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Form
566973-
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Age
4
-
Weight
8-8
8(8)
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Form
1144-85
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Age
4
-
Weight
8-8
9(9)
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Form
74790-3
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Age
6
-
Weight
8-8
10(10)
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Form
5360-54
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Age
4
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Weight
8-8