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1(1)
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Form
11134-4
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Age
10
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Weight
8-4
2(2)
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Form
0144-13
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Age
5
-
Weight
8-4
3(3)
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Form
11535-5
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Age
5
-
Weight
8-4
4(4)
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Form
231-746
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Age
5
-
Weight
8-4
5(5)
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Form
6316-34
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Age
4
-
Weight
7-11
6(6)
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Form
1524-15
-
Age
10
-
Weight
8-4
7(7)
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Form
4539-14
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Age
5
-
Weight
8-4
9(9)
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Form
698-138
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Age
4
-
Weight
8-4
10(10)
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Form
417721-
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Age
6
-
Weight
7-13
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Form
6/7451-1
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Age
10
-
Weight
8-4