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1(3)
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Form
8553-63
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Age
4
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Weight
9-6
2(8)
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Form
4-64003
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Age
4
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Weight
9-6
3(2)
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Form
07-8468
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Age
4
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Weight
9-6
4(10)
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Form
5403-24
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Age
5
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Weight
9-6
5(11)
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Form
5-52367
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Age
5
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Weight
9-6
6(5)
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Form
74507
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Age
4
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Weight
9-6
7(12)
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Form
66-508
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Age
4
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Weight
9-6
8(7)
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Form
99-0455
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Age
4
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Weight
9-6
9(1)
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Form
097
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Age
4
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Weight
9-6
10(13)
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Form
874036-
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Age
5
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Weight
9-6
11(4)
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Form
3506-00
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Age
6
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Weight
9-6
12(9)
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Form
776-6
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Age
4
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Weight
9-6
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Form
448-570
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Age
4
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Weight
9-6