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1(3)
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Form
256-223
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Age
4
-
Weight
9-6
2(5)
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Form
5-69553
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Age
4
-
Weight
9-6
3(6)
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Form
589657
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Age
4
-
Weight
9-6
4(9)
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Form
748074
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Age
5
-
Weight
9-6
7(11)
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Form
0-90690
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Age
7
-
Weight
9-6
8(7)
9(4)
10(1)
11(12)
12(8)
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Form
07666-0
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Age
4
-
Weight
9-6
13(2)
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Form
09869
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Age
4
-
Weight
9-6
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Form
8790-00
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Age
4
-
Weight
9-6