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1(1)
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Form
8473-86
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Age
6
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Weight
8-8
2(2)
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Form
656374-
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Age
4
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Weight
8-8
3(3)
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Form
6/1-6593
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Age
6
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Weight
8-8
4(4)
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Form
3509-75
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Age
5
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Weight
8-8
5(5)
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Form
0897-80
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Age
7
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Weight
8-8
6(6)
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Form
00-1655
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Age
5
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Weight
8-8
7(7)
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Form
726246-
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Age
4
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Weight
8-8
8(8)
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Form
55-3232
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Age
4
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Weight
8-8
9(9)
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Form
78-8349
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Age
4
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Weight
8-8
10(10)
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Form
137-668
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Age
5
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Weight
8-1
11(11)
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Form
5-02163
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Age
4
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Weight
8-8
12(12)
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Form
07-2234
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Age
6
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Weight
8-8