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1(1)
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Form
4750-01
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Age
5
-
Weight
8-6
2(2)
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Form
133214
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Age
4
-
Weight
8-12
3(3)
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Form
4-47341
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Age
4
-
Weight
8-12
4(4)
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Form
53-5743
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Age
6
-
Weight
8-6
5(5)
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Form
8576-22
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Age
6
-
Weight
8-6
6(6)
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Form
316332
-
Age
5
-
Weight
8-12
7(7)
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Form
323522
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Age
4
-
Weight
8-6
8(8)
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Form
763311
-
Age
4
-
Weight
8-12
9(9)
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Form
914103
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Age
3
-
Weight
8-5
10(10)
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Form
4-16523
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Age
7
-
Weight
8-12