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1(1)
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Form
3416-00
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Age
4
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Weight
8-6
2(2)
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Form
6940-33
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Age
5
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Weight
8-6
3(3)
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Form
41941-2
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Age
4
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Weight
8-6
4(4)
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Form
164-429
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Age
5
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Weight
8-6
5(5)
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Form
15389-1
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Age
4
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Weight
8-6
6(6)
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Form
3442-15
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Age
7
-
Weight
8-6
7(7)
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Form
0268-43
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Age
6
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Weight
8-6
8(8)
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Form
72618-1
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Age
8
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Weight
8-6
9(9)
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Form
37-5411
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Age
6
-
Weight
8-6
10(10)
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Form
27261-6
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Age
4
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Weight
8-6