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1(1)
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Form
42-4100
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Age
3
-
Weight
8-6
2(2)
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Form
71-3635
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Age
3
-
Weight
8-6
3(3)
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Form
35-1252
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Age
3
-
Weight
8-6
4(4)
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Form
63214-
-
Age
3
-
Weight
8-6
5(5)
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Form
1-836
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Age
3
-
Weight
8-6
6(6)
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Form
113-5
-
Age
3
-
Weight
8-6
7(7)
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Form
5784-71
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Age
3
-
Weight
8-6
8(8)
9(9)
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Form
175-
-
Age
3
-
Weight
7-13
10(10)
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Form
15441-4
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Age
3
-
Weight
8-6