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1(2)
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Form
572-2
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Age
4
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Weight
9-6
2(1)
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Form
577-
-
Age
4
-
Weight
9-6
3(12)
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Form
76-
-
Age
4
-
Weight
9-6
4(4)
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Form
9800-0
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Age
4
-
Weight
9-6
5(7)
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Form
0-06
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Age
5
-
Weight
9-6
6(11)
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Form
00-0
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Age
4
-
Weight
9-6
7(3)
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Form
000-
-
Age
4
-
Weight
9-6
9(8)
10(6)
11(5)
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Form
0-0
-
Age
4
-
Weight
9-6
12(9)
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Form
50-
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Age
4
-
Weight
9-6