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1(1)
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Form
219-00
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Age
3
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Weight
8-6
2(2)
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Form
31645-
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Age
3
-
Weight
8-6
3(3)
4(4)
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Form
361
-
Age
3
-
Weight
8-8
5(5)
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Form
29-1
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Age
3
-
Weight
8-8
6(6)
7(7)
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Form
34-3177
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Age
3
-
Weight
8-8
8(8)
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Form
82-19
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Age
3
-
Weight
8-6
9(9)
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Form
51-9
-
Age
3
-
Weight
8-6
10(10)
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Form
100-09
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Age
3
-
Weight
8-8
11(11)
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Form
81376-6
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Age
3
-
Weight
8-6
12(12)
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Form
6490-47
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Age
3
-
Weight
8-6