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1(1)
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Form
8617-00
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Age
4
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Weight
8-8
2(2)
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Form
60-5583
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Age
5
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Weight
8-8
4(4)
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Form
436-475
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Age
5
-
Weight
8-8
5(5)
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Form
734534
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Age
4
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Weight
8-8
6(6)
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Form
375079
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Age
4
-
Weight
8-8
7(7)
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Form
313439
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Age
3
-
Weight
8-3
8(8)
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Form
1540-76
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Age
4
-
Weight
8-8
9(9)
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Form
586-710
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Age
4
-
Weight
8-12
10(10)
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Form
677742
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Age
4
-
Weight
8-8
11(11)
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Form
3-35531
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Age
4
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Weight
8-12
12(12)
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Form
647770
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Age
3
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Weight
7-12
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Form
092246
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Age
3
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Weight
8-5