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1(1)
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Form
5224-64
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Age
5
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Weight
8-6
2(2)
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Form
6/8-0542
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Age
4
-
Weight
8-6
3(3)
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Form
257-558
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Age
3
-
Weight
8-2
4(4)
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Form
6004-53
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Age
4
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Weight
8-11
5(5)
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Form
005
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Age
3
-
Weight
8-2
6(6)
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Form
64
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Age
4
-
Weight
8-11
7(7)
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Form
73-5332
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Age
4
-
Weight
8-11
8(8)
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Form
34-8747
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Age
4
-
Weight
8-11
9(9)
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Form
3764
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Age
3
-
Weight
8-2
10(10)
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Form
466845
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Age
4
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Weight
8-11
11(11)
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Form
05-9457
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Age
3
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Weight
8-2
12(12)