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1(17)
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Form
640-52
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Age
4
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Weight
9-6
3(9)
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Form
005
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Age
4
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Weight
9-6
4(7)
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Form
806-040
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Age
8
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Weight
9-6
5(16)
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Form
00-040
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Age
4
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Weight
9-6
6(2)
7(5)
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Form
00-
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Age
4
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Weight
9-6
8(14)
9(4)
10(15)
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Form
0-0
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Age
4
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Weight
9-6
12(6)
13(3)
14(11)
15(12)
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Form
269
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Age
4
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Weight
9-6
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Form
082473
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Age
4
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Weight
9-6
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Form
9-64866
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Age
4
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Weight
9-6
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Form
57060-0
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Age
4
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Weight
9-6