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1(3)
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Form
99093-
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Age
4
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Weight
9-6
2(4)
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Form
745-
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Age
4
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Weight
9-6
3(1)
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Form
8577-
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Age
4
-
Weight
9-6
4(9)
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Form
4406-
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Age
4
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Weight
9-6
6(10)
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Form
699-
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Age
4
-
Weight
9-6
7(11)
8(6)
9(13)
10(17)
11(15)
12(16)
13(14)
15(2)
16(5)
17(8)
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Form
0070-
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Age
4
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Weight
9-6
18(7)
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Form
534334-
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Age
5
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Weight
9-6