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2(2)
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Form
17-241
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Age
4
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Weight
8-11
12(12)
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Form
146-29
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Age
4
-
Weight
8-7
4(4)
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Form
143-30
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Age
4
-
Weight
8-7
7(7)
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Form
736553
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Age
5
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Weight
8-11
11(11)
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Form
760816
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Age
5
-
Weight
8-7
9(9)
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Form
768147
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Age
7
-
Weight
8-11
6(6)
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Form
11-232
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Age
4
-
Weight
8-7
8(8)
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Form
0-0008
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Age
4
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Weight
8-11
5(5)
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Form
838836
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Age
9
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Weight
8-11
10(10)
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Form
0-0900
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Age
4
-
Weight
8-11
1(1)
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Form
487928
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Age
7
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Weight
8-11
3(3)
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Form
-25747
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Age
6
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Weight
8-11