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11(11)
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Form
213-9-
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Age
5
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Weight
8-7
16(16)
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Form
7700-0
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Age
4
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Weight
8-7
4(4)
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Form
9621-2
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Age
5
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Weight
8-11
8(8)
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Form
640800
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Age
4
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Weight
8-7
14(14)
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Form
423066
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Age
5
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Weight
8-7
13(13)
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Form
95-000
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Age
5
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Weight
8-7
7(7)
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Form
69783-
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Age
6
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Weight
8-11
6(6)
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Form
710003
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Age
4
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Weight
8-7
12(12)
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Form
9-9-00
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Age
4
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Weight
8-11
9(9)
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Form
000978
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Age
4
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Weight
8-7
1(1)
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Form
290958
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Age
4
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Weight
8-11
2(2)
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Form
003000
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Age
4
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Weight
8-7
15(15)
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Form
352044
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Age
5
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Weight
8-7
5(5)
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Form
870800
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Age
9
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Weight
8-11
3(3)
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Form
4841-
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Age
4
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Weight
8-7
10(10)
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Form
00890-
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Age
5
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Weight
8-11