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1(1)
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Form
53-1148
-
Age
3
-
Weight
7-12
2(2)
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Form
22-711
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Age
3
-
Weight
7-12
3(3)
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Form
2-21114
-
Age
6
-
Weight
8-8
4(4)
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Form
557-863
-
Age
5
-
Weight
8-1
5(5)
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Form
13768-5
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Age
4
-
Weight
8-6
6(6)
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Form
5083-55
-
Age
4
-
Weight
8-6
8(8)
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Form
75-2634
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Age
6
-
Weight
8-6