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1(1)
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Form
7-40969
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Age
9
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Weight
8-5
2(2)
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Form
01080-8
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Age
6
-
Weight
8-12
4(4)
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Form
75-0207
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Age
4
-
Weight
8-12
5(5)
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Form
1325-15
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Age
4
-
Weight
8-12
6(6)
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Form
5-66830
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Age
4
-
Weight
8-12
8(8)
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Form
334-699
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Age
4
-
Weight
8-12
9(9)
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Form
2-59852
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Age
8
-
Weight
8-12
10(10)
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Form
2-96366
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Age
4
-
Weight
8-5
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Form
2-26663
-
Age
4
-
Weight
8-12
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Form
364658-
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Age
6
-
Weight
8-5