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This is already in its simplest form. The larger number (19) is prime and we therefore know we can not simplify this.
19 / 4 is equal to 4.75 or 4 3/4
4/19 is in its simplest form.
1/4
4/19
475/100 = 43/4 = 19/4
76/1000 = (4×19)/(4×250) = 19/250
19 over 4
2/19