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3
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Form
11111-1
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Age
4
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Weight
10-7
7
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Form
4-44114
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Age
4
-
Weight
10-3
5
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Form
64
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Age
4
-
Weight
10-5
2
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Form
1412-25
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Age
4
-
Weight
10-10
1
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Form
P11-165
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Age
4
-
Weight
10-12
4
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Form
011144
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Age
4
-
Weight
10-7
6
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Form
502-1F3
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Age
4
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Weight
10-3
8
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Form
1614-23
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Age
4
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Weight
10-3