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1(1)
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Form
77213-6
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Age
4
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Weight
8-7
2(2)
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Form
30-9313
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Age
3
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Weight
7-11
3(3)
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Form
81867/0-
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Age
5
-
Weight
8-7
4(4)
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Form
88-6665
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Age
6
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Weight
8-7
5(5)
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Form
4-63483
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Age
5
-
Weight
8-7
6(6)
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Form
833-851
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Age
3
-
Weight
8-2
7(7)
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Form
27-2822
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Age
4
-
Weight
8-7
8(8)
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Form
312434-
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Age
4
-
Weight
8-7
9(9)
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Form
643-089
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Age
4
-
Weight
8-2
10(10)
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Form
45414-0
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Age
4
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Weight
8-7