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1(1)
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Form
457-000
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Age
5
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Weight
8-11
2(2)
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Form
1-53325
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Age
3
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Weight
8-7
3(3)
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Form
3-95236
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Age
4
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Weight
8-11
4(4)
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Form
596030
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Age
4
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Weight
8-11
5(5)
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Form
534485
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Age
4
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Weight
8-11
6(6)
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Form
634-631
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Age
6
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Weight
8-11
7(7)
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Form
67-2145
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Age
3
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Weight
8-7
8(8)
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Form
5-32122
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Age
4
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Weight
8-11
9(9)
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Form
422456-
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Age
5
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Weight
8-11
10(10)
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Form
3355-13
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Age
6
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Weight
8-11
11(11)
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Form
626726
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Age
3
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Weight
8-7
12(12)
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Form
1487-59
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Age
5
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Weight
8-11
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Form
453678
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Age
3
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Weight
8-7
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Form
055322
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Age
4
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Weight
8-11
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Form
41-6500
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Age
5
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Weight
8-11
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Form
040-434
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Age
5
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Weight
8-11