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1(1)
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Form
110-533
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Age
4
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Weight
8-5
3(3)
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Form
1-66562
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Age
5
-
Weight
8-5
4(4)
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Form
21211-2
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Age
5
-
Weight
8-5
5(5)
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Form
41-4356
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Age
8
-
Weight
8-5
6(6)
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Form
3-50115
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Age
5
-
Weight
8-5
7(7)
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Form
39-7423
-
Age
4
-
Weight
8-5
8(8)
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Form
551116
-
Age
4
-
Weight
8-5
9(9)
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Form
2-51634
-
Age
4
-
Weight
8-5
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Form
0221-15
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Age
7
-
Weight
8-5