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1(2)
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Form
311-653
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Age
5
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Weight
8-8
1(5)
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Form
4126-16
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Age
7
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Weight
8-8
3(3)
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Form
665671-
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Age
4
-
Weight
8-8
4(4)
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Form
13451-5
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Age
4
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Weight
8-8
5(6)
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Form
8637-14
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Age
4
-
Weight
8-8
6(7)
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Form
9965-51
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Age
4
-
Weight
8-8
7(8)
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Form
5641-1
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Age
4
-
Weight
8-8
8(9)
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Form
01-1916
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Age
4
-
Weight
8-8
9(10)
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Form
3112-45
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Age
5
-
Weight
8-8
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Form
46-611
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Age
3
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Weight
8-5