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1(2)
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Form
3822-30
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Age
4
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Weight
9-6
2(4)
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Form
84-5462
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Age
4
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Weight
9-6
3(10)
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Form
7-64903
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Age
4
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Weight
9-6
4(11)
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Form
86-53
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Age
4
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Weight
9-6
5(9)
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Form
3090-03
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Age
4
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Weight
9-6
6(8)
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Form
7-00
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Age
4
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Weight
9-6
7(5)
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Form
305-737
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Age
5
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Weight
9-6
8(12)
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Form
096
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Age
4
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Weight
9-6
9(7)
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Form
0-00
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Age
4
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Weight
9-6
10(6)
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Form
08-00
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Age
4
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Weight
9-6
11(1)
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Form
00-0800
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Age
5
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Weight
9-6
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Form
0000
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Age
4
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Weight
9-6