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1(2)
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Form
6443-4
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Age
6
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Weight
9-6
10(3)
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Form
006-00
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Age
4
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Weight
8-1
6(8)
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Form
38-538
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Age
8
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Weight
8-11
8(1)
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Form
00-782
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Age
5
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Weight
8-8
3(10)
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Form
150-87
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Age
8
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Weight
9-3
9(5)
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Form
4515-4
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Age
9
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Weight
8-7
7(7)
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Form
1875-9
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Age
11
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Weight
8-8
4(6)
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Form
0537-0
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Age
6
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Weight
9-1
5(9)
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Form
8660-4
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Age
4
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Weight
9-1
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Form
3570-0
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Age
4
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Weight
9-5