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11(10)
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Form
0067-1
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Age
4
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Weight
8-11
6(9)
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Form
3-9200
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Age
4
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Weight
9-1
9(11)
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Form
36-410
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Age
4
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Weight
8-13
4(7)
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Form
104-07
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Age
4
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Weight
9-4
7(12)
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Form
81780-
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Age
4
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Weight
9-1
13(2)
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Form
1-0066
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Age
4
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Weight
8-5
5(6)
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Form
5184-3
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Age
4
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Weight
9-4
3(8)
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Form
3310-0
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Age
4
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Weight
9-4
1(3)
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Form
018-
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Age
4
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Weight
9-6
10(4)
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Form
/3786-
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Age
4
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Weight
8-12
8(5)
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Form
95332-
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Age
4
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Weight
8-13
12(13)
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Form
198-00
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Age
4
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Weight
8-6
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Form
-00068
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Age
4
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Weight
9-5