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1(3)
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Form
45866-0
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Age
5
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Weight
8-9
1(8)
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Form
35-2183
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Age
3
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Weight
8-4
2(1)
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Form
1-4324
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Age
3
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Weight
8-4
3(2)
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Form
517-0
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Age
3
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Weight
8-4
4(4)
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Form
8461-77
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Age
3
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Weight
8-4
5(5)
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Form
215376
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Age
3
-
Weight
8-4
6(6)
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Form
95738-7
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Age
5
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Weight
8-9
7(7)
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Form
452/217-
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Age
5
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Weight
8-9
8(9)
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Form
685046-
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Age
5
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Weight
8-9
9(10)
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Form
136-367
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Age
3
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Weight
8-4
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Form
4123-
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Age
3
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Weight
8-4