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1(1)
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Form
55473-5
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Age
3
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Weight
8-5
2(2)
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Form
408780
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Age
3
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Weight
8-5
3(3)
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Form
256063
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Age
4
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Weight
8-10
4(4)
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Form
7647
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Age
4
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Weight
8-10
5(5)
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Form
789769
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Age
3
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Weight
8-5
6(6)
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Form
07/9988-
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Age
5
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Weight
8-10
7(7)
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Form
964534
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Age
6
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Weight
8-10
8(8)
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Form
447522
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Age
3
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Weight
8-5
9(9)
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Form
64552
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Age
3
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Weight
8-5
10(10)
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Form
000098
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Age
3
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Weight
8-5
11(11)
12(12)
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Form
58
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Age
6
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Weight
8-10