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1(2)
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Form
511-11
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Age
4
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Weight
9-2
2(4)
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Form
111-221
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Age
4
-
Weight
9-2
4(10)
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Form
111-112
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Age
4
-
Weight
9-2
5(6)
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Form
318-265
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Age
4
-
Weight
9-2
6(5)
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Form
145-518
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Age
4
-
Weight
9-2
7(8)
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Form
414-113
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Age
4
-
Weight
9-2
8(9)
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Form
1-1116
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Age
4
-
Weight
9-2
10(1)
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Form
36-2114
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Age
4
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Weight
9-2
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Form
1117-1
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Age
4
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Weight
9-2
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Form
682-114
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Age
4
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Weight
9-2