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1(1)
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Form
512-394
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Age
5
-
Weight
8-6
2(2)
3(3)
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Form
4310-00
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Age
6
-
Weight
8-1
4(4)
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Form
59261-4
-
Age
6
-
Weight
8-6
5(5)
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Form
7-1
-
Age
4
-
Weight
8-11
6(6)
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Form
734313-
-
Age
6
-
Weight
8-1
7(7)
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Form
018045-
-
Age
4
-
Weight
8-6
8(8)
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Form
107-7
-
Age
4
-
Weight
8-6