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1(1)
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Form
134-683
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Age
3
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Weight
8-13
2(2)
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Form
134-2
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Age
3
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Weight
8-13
3(3)
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Form
0222-24
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Age
3
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Weight
8-13
4(4)
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Form
3122-21
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Age
3
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Weight
8-13
5(5)
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Form
143-1
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Age
3
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Weight
8-13
6(6)
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Form
616868
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Age
3
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Weight
8-13
7(7)
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Form
1213-37
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Age
3
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Weight
8-13
8(8)
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Form
9-421
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Age
3
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Weight
8-13
9(9)
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Form
7161-00
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Age
3
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Weight
8-13
10(10)
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Form
9215-65
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Age
3
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Weight
8-13