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1(1)
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Form
76-0980
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Age
5
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Weight
8-6
2(2)
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Form
41-4047
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Age
4
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Weight
8-6
3(3)
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Form
476257-
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Age
4
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Weight
8-6
4(4)
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Form
9-43726
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Age
4
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Weight
8-6
5(5)
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Form
8446-32
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Age
5
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Weight
8-1
6(6)
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Form
1565-95
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Age
5
-
Weight
8-6
7(7)
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Form
458-658
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Age
4
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Weight
8-6
8(8)
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Form
205-416
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Age
4
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Weight
8-8
9(9)
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Form
5-02532
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Age
4
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Weight
8-1
10(10)
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Form
5565-94
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Age
8
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Weight
8-6
11(11)
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Form
3299-99
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Age
4
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Weight
8-6