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1(1)
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Form
4-22114
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Age
5
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Weight
8-13
2(2)
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Form
1449-43
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Age
4
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Weight
8-13
3(3)
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Form
311112-
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Age
4
-
Weight
8-13
4(4)
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Form
1-13111
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Age
4
-
Weight
8-13
5(5)
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Form
34231-7
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Age
4
-
Weight
8-13
7(7)
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Form
4542-76
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Age
4
-
Weight
8-13
8(8)
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Form
111114-
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Age
5
-
Weight
8-13
9(9)
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Form
1211-48
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Age
4
-
Weight
8-13
10(10)
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Form
53625-1
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Age
4
-
Weight
8-13
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Form
4/1925-2
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Age
4
-
Weight
8-13