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1(11)
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Form
049-223
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Age
4
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Weight
9-6
2(1)
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Form
2202-54
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Age
4
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Weight
9-6
3(4)
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Form
45073-2
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Age
4
-
Weight
9-6
4(5)
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Form
389-2
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Age
4
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Weight
9-6
5(3)
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Form
0-855
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Age
4
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Weight
9-6
6(6)
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Form
7990-8
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Age
4
-
Weight
9-6
7(7)
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Form
5890-05
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Age
4
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Weight
9-6
8(12)
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Form
00-80
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Age
5
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Weight
9-6
9(2)
10(9)
11(10)
12(8)