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1(1)
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Form
59-7723
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Age
7
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Weight
8-4
2(2)
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Form
032154
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Age
4
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Weight
8-4
3(3)
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Form
5-95214
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Age
3
-
Weight
8-4
4(4)
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Form
6708-79
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Age
4
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Weight
8-4
5(5)
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Form
477-533
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Age
4
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Weight
8-4
6(6)
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Form
74-8078
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Age
4
-
Weight
8-4
7(7)
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Form
4-18622
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Age
3
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Weight
7-12
8(8)
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Form
71627
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Age
4
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Weight
8-4
9(9)
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Form
805643
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Age
3
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Weight
7-12
10(10)
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Form
0165-58
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Age
4
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Weight
8-4