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1(1)
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Form
817-001
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Age
4
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Weight
8-6
2(2)
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Form
12-4638
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Age
4
-
Weight
8-6
3(3)
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Form
686134
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Age
3
-
Weight
7-13
4(4)
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Form
737331
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Age
4
-
Weight
7-13
5(5)
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Form
143762
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Age
4
-
Weight
8-4
6(6)
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Form
958554
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Age
6
-
Weight
8-6
7(7)
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Form
343273
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Age
6
-
Weight
8-1
9(9)
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Form
6-24536
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Age
4
-
Weight
8-1
10(10)
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Form
807727
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Age
5
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Weight
8-6
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Form
067553
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Age
5
-
Weight
8-6