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1(3)
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Form
424-000
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Age
4
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Weight
9-6
2(1)
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Form
69422
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Age
4
-
Weight
9-6
3(11)
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Form
254756
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Age
4
-
Weight
9-6
4(12)
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Form
28222-2
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Age
5
-
Weight
9-6
6(7)
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Form
0-79685
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Age
4
-
Weight
9-6
7(6)
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Form
60-889
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Age
4
-
Weight
9-6
8(5)
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Form
670466
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Age
5
-
Weight
9-6
9(2)
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Form
500-007
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Age
4
-
Weight
9-6
10(4)
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Form
600757
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Age
5
-
Weight
9-6
11(9)
12(8)
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Form
053
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Age
4
-
Weight
9-6
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Form
324479
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Age
4
-
Weight
9-6