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1(11)
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Form
3622-82
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Age
4
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Weight
9-6
2(15)
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Form
237-23
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Age
4
-
Weight
9-6
3(7)
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Form
05/5049-
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Age
5
-
Weight
9-6
4(12)
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Form
0075-4
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Age
5
-
Weight
9-6
5(6)
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Form
97878-6
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Age
4
-
Weight
9-6
6(10)
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Form
0000-05
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Age
4
-
Weight
9-6
7(3)
8(16)
9(2)
10(8)
11(17)
12(4)
13(5)
14(13)
15(9)
16(1)
17(14)