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1(4)
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Form
85433-2
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Age
4
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Weight
9-6
2(8)
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Form
983-832
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Age
4
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Weight
9-6
3(3)
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Form
86-24
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Age
4
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Weight
9-6
4(6)
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Form
8856-72
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Age
4
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Weight
9-6
5(11)
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Form
00-43
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Age
4
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Weight
9-6
6(10)
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Form
0078-3
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Age
4
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Weight
9-6
7(1)
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Form
06007-3
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Age
4
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Weight
9-6
8(7)
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Form
8874-85
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Age
4
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Weight
9-6
9(12)
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Form
7098-
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Age
4
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Weight
9-6
10(9)
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Form
00-0
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Age
5
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Weight
9-6
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12(2)