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1(1)
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Form
850-093
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Age
4
-
Weight
8-12
2(2)
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Form
7-55668
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Age
3
-
Weight
8-7
3(3)
4(4)
5(5)
6(6)
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Form
980758
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Age
4
-
Weight
8-5
7(7)
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Form
5660-
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Age
4
-
Weight
8-12
8(8)
9(9)
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Form
5548-72
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Age
4
-
Weight
8-12
11(11)
12(12)
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Form
59-7
-
Age
3
-
Weight
8-7
13(13)
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Form
276244-
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Age
4
-
Weight
8-12
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Form
2235-34
-
Age
3
-
Weight
8-7
-
Form
334-24
-
Age
3
-
Weight
8-7