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1(1)
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Form
5498-86
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Age
5
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Weight
8-6
2(2)
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Form
123865-
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Age
4
-
Weight
8-6
3(3)
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Form
3139-42
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Age
4
-
Weight
8-6
4(4)
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Form
875367-
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Age
6
-
Weight
8-6
5(5)
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Form
139-744
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Age
4
-
Weight
8-6
6(6)
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Form
7656-15
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Age
4
-
Weight
8-6
7(7)
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Form
0508-42
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Age
7
-
Weight
8-6
8(8)
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Form
8819-90
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Age
6
-
Weight
8-6
9(9)
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Form
2013-68
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Age
4
-
Weight
8-6
10(10)
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Form
155-253
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Age
5
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Weight
8-6