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1(1)
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Form
1391-43
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Age
5
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Weight
8-5
2(2)
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Form
212-211
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Age
4
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Weight
8-5
11(11)
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Form
16741-2
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Age
5
-
Weight
8-5
4(4)
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Form
8214-13
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Age
6
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Weight
8-5
3(3)
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Form
7250-54
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Age
5
-
Weight
8-5
5(5)
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Form
94132-5
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Age
4
-
Weight
8-5
7(7)
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Form
352-316
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Age
4
-
Weight
8-5
8(8)
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Form
212-117
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Age
5
-
Weight
8-5
9(9)
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Form
6607-69
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Age
4
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Weight
8-5
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Form
5/142-4
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Age
4
-
Weight
8-5
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Form
15676-6
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Age
4
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Weight
8-5