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1(13)
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Form
6764-4
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Age
4
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Weight
9-6
2(5)
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Form
0986-
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Age
4
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Weight
9-6
3(6)
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Form
09/0020-
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Age
5
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Weight
9-6
4(12)
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Form
34224-2
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Age
6
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Weight
9-6
5(14)
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Form
708774-
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Age
5
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Weight
9-6
6(2)
7(10)
8(8)
9(3)
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Form
000-
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Age
4
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Weight
9-6
10(1)
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Form
0000-6
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Age
4
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Weight
9-6
12(9)
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Form
003-7
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Age
5
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Weight
9-6
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Form
30870-
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Age
4
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Weight
9-6