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1(6)
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Form
8760-54
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Age
4
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Weight
9-0
1(7)
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Form
65
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Age
3
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Weight
8-12
2(1)
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Form
4899-5
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Age
3
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Weight
8-12
3(2)
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Form
620632
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Age
3
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Weight
8-12
4(3)
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Form
2822-25
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Age
3
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Weight
8-12
5(4)
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Form
9764-28
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Age
3
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Weight
8-12
6(5)
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Form
737847
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Age
3
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Weight
8-12
7(8)
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Form
2332-44
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Age
4
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Weight
9-0
8(9)