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1(1)
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Form
840-1
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Age
4
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Weight
8-12
2(2)
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Form
08-0117
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Age
3
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Weight
8-0
3(3)
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Form
12-2269
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Age
3
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Weight
8-5
4(4)
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Form
8-4218
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Age
3
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Weight
8-5
5(5)
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Form
14-762
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Age
4
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Weight
8-10
7(7)
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Form
1114
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Age
3
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Weight
8-5
8(8)
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Form
24213
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Age
3
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Weight
8-5
9(9)
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Form
442343
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Age
4
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Weight
8-10
10(10)
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Form
641
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Age
3
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Weight
8-5
11(11)
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Form
944215
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Age
3
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Weight
8-5
12(12)
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Form
7581-5
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Age
4
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Weight
8-10
13(13)
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Form
2-62236
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Age
3
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Weight
8-5
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Form
993642
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Age
3
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Weight
8-5
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Form
51370
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Age
3
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Weight
8-5