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1(3)
2(5)
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Form
839
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Age
3
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Weight
9-2
3(2)
4(12)
5(1)
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Form
3-278
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Age
3
-
Weight
9-2
6(11)
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Form
6-83420
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Age
3
-
Weight
8-13
7(7)
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Form
7316-00
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Age
3
-
Weight
8-13
8(6)
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Form
329-737
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Age
3
-
Weight
8-13
9(9)
10(8)
11(10)
12(13)
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Form
58-511
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Age
3
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Weight
8-9
13(4)