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1(5)
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Form
23-3474
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Age
5
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Weight
9-6
2(14)
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Form
057-09
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Age
4
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Weight
9-6
3(10)
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Form
5447-63
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Age
7
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Weight
9-6
4(6)
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Form
04-0079
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Age
4
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Weight
9-6
5(11)
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Form
800-560
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Age
4
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Weight
9-6
6(2)
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Form
80-0739
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Age
5
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Weight
9-6
7(9)
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Form
060-700
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Age
4
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Weight
9-6
9(3)
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Form
0570-00
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Age
4
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Weight
9-6
10(13)
11(7)
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Form
000
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Age
4
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Weight
9-6
12(1)
13(4)
14(8)
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Form
00000
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Age
4
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Weight
9-6