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12(13)
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Form
5378-42
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Age
4
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Weight
8-11
7(10)
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Form
44265-2
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Age
4
-
Weight
9-1
3(6)
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Form
83313-5
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Age
4
-
Weight
9-3
5(7)
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Form
4500-00
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Age
4
-
Weight
9-2
1(12)
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Form
5-30140
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Age
4
-
Weight
9-6
2(8)
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Form
1500-70
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Age
4
-
Weight
9-4
4(4)
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Form
55362-5
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Age
4
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Weight
9-2
6(11)
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Form
0860-00
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Age
4
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Weight
9-1
8(5)
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Form
77354-7
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Age
4
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Weight
9-1
9(3)
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Form
54506-0
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Age
4
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Weight
8-13
10(1)
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Form
71767-5
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Age
4
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Weight
8-12
11(2)
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Form
52609-9
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Age
4
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Weight
8-11
13(14)
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Form
06200-0
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Age
4
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Weight
8-5
14(9)
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Form
4080-83
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Age
4
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Weight
8-2