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1(1)
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Form
79-5445
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Age
4
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Weight
8-11
2(2)
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Form
3713-79
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Age
5
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Weight
8-1
3(3)
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Form
724637
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Age
9
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Weight
8-11
5(5)
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Form
1-61525
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Age
3
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Weight
8-7
6(6)
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Form
7364-00
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Age
8
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Weight
8-6
8(8)
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Form
468487
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Age
5
-
Weight
8-11
9(9)
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Form
29-2323
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Age
7
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Weight
8-11
10(10)
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Form
343733
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Age
5
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Weight
8-11
11(11)
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Form
1-94829
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Age
6
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Weight
8-11
12(12)
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Form
95430-8
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Age
8
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Weight
9-4
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Form
212-769
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Age
4
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Weight
8-11
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Form
37735-0
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Age
8
-
Weight
8-11
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Form
168-667
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Age
8
-
Weight
8-11
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Form
96746-0
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Age
9
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Weight
8-11