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Form
1011-53
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Age
4
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Form
22193-0
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Age
4
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Weight
9-2
4(14)
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Form
5282-81
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Age
4
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Weight
9-2
5(3)
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Form
4163-12
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Age
4
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Weight
9-2
6(7)
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Form
153-246
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Age
4
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Weight
9-2
7(5)
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Form
12760-0
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Age
4
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Weight
9-2
8(9)
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Form
14001-6
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Age
4
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Weight
9-2
9(2)
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Form
1-1
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Age
4
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10(12)
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Form
4119-65
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Age
4
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Weight
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Form
4-04624
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Age
4
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Weight
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12(10)
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Form
1262-1
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Age
4
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13(13)
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Form
20476-9
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Age
4
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Weight
9-2
14(11)
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Form
12-2
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Age
4
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Weight
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Form
2111-2
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Age
4
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Weight
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Form
413-0
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Age
4
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Weight
9-2