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3(5)
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Form
142-00
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Age
4
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Weight
9-2
8(1)
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Form
2-8007
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Age
4
-
Weight
8-9
9(3)
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Form
58160-
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Age
4
-
Weight
8-9
4(13)
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Form
22-611
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Age
4
-
Weight
8-13
2(9)
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Form
06110-
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Age
4
-
Weight
9-4
7(8)
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Form
2-8221
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Age
4
-
Weight
8-9
6(12)
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Form
02039-
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Age
4
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Weight
8-11
1(4)
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Form
14320-
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Age
4
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Weight
9-8
10(11)
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Form
46508-
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Age
4
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Weight
8-7
12(6)
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Form
1320-8
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Age
4
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Weight
8-1
11(7)
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Form
22059-
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Age
4
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Weight
8-6
13(10)
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Form
0319-
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Age
4
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Weight
8-1
5(2)
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Form
74632-
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Age
4
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Weight
8-13