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1(2)
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Form
654-567
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Age
4
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Weight
9-6
2(10)
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Form
00005
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Age
4
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Weight
9-6
3(7)
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Form
087
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Age
4
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Weight
9-6
4(3)
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Form
42623
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Age
3
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Weight
9-2
5(9)
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Form
85680
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Age
3
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Weight
9-2
6(12)
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Form
008980
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Age
3
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Weight
9-2
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11(1)
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13(5)