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1(2)
1(14)
2(1)
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Form
63-2896
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Age
3
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Weight
8-3
3(3)
4(4)
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Form
72-0032
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Age
4
-
Weight
8-8
5(5)
6(6)
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Form
066578
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Age
3
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Weight
8-3
7(7)
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Form
76/03
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Age
3
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Weight
8-7
8(8)
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Form
4274-07
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Age
5
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Weight
8-12
9(9)
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Form
774494
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Age
3
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Weight
8-3
10(10)
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Form
83-
-
Age
3
-
Weight
8-7
11(11)
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Form
64-665
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Age
3
-
Weight
8-7
12(12)
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Form
06848
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Age
3
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Weight
8-3
13(13)
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Form
263442
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Age
3
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Weight
8-7