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2
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Form
12-01
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Age
4
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Weight
10-8
3
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Form
103-0
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Age
4
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Weight
10-8
4
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Form
330004-
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Age
4
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Weight
10-6
5
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Form
40563-0
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Age
4
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Weight
10-6
6
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Form
6/64-
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Age
4
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Weight
10-6
8
9
10
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Form
05-
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Age
4
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Weight
10-3
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14
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Form
43-7
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Age
4
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Weight
10-1
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16
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0/
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Age
4
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Weight
9-13
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Form
47851-
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Age
4
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Weight
11-5
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Form
4-9
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Age
4
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Weight
10-3