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Form
421-3-94
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Age
5
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Weight
9-0
9(9)
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Form
0-70-541
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Age
7
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Weight
8-9
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Form
6-47000-
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Age
5
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Weight
9-0
5(5)
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Form
8021-3-1
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Age
3
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Weight
8-9
8(8)
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Form
1-8-1003-
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Age
5
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Weight
9-0
6(6)
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Form
215-25-6
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Age
5
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Weight
8-9
2(2)
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Form
09770-8-
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Age
8
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Weight
9-0
11(11)
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Form
02128-0
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Age
6
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Weight
9-0
14(14)
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Form
7000-08
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Age
6
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Weight
9-0
4(4)
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Form
019-1-03
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Age
4
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Weight
8-9
1(1)
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Form
080-50-0
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Age
5
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Weight
8-9
7(7)
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Form
431-34-4
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Age
4
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Weight
8-9
12(12)
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Form
4-5-1-070-
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Age
6
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Weight
8-9
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Form
4-3237-0
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Age
8
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Weight
9-0
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Form
1-07807-
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Age
4
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Weight
9-0
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Form
321100-
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Age
4
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Weight
8-9