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1(8)
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Form
053680-
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Age
4
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Weight
9-6
2(2)
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Form
98840-3
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Age
4
-
Weight
9-6
4(5)
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Form
0087-
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Age
5
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Weight
9-6
5(9)
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Form
000-
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Age
4
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Weight
9-6
7(6)
8(1)
9(4)
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Form
80-
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Age
4
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Weight
9-6
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Form
800099-
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Age
4
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Weight
9-6
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Form
78767-5
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Age
5
-
Weight
9-6