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1(1)
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Form
627-5
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Age
4
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Weight
9-6
2(13)
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Form
54820-2
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Age
4
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Weight
9-6
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Form
4473-34
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Age
4
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Weight
9-6
4(2)
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Form
0-0208
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Age
4
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Weight
9-6
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Form
09606-
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Age
4
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Weight
9-6
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Form
806380-
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Age
4
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Weight
9-6
7(5)
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Form
0600-6
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Age
4
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Weight
9-6
8(4)
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Form
5375-73
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Age
5
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Weight
9-6
9(8)
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Form
5740-49
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Age
5
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Weight
9-6
10(9)
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Form
500-0
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Age
4
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Weight
9-6
11(3)
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Form
000000-
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Age
4
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Weight
9-6
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