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1(1)
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Form
525-148
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Age
8
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Weight
8-8
2(2)
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Form
44-0541
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Age
5
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Weight
8-10
4(4)
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Form
37-6133
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Age
5
-
Weight
8-1
5(5)
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Form
214-755
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Age
7
-
Weight
8-1
6(6)
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Form
533444-
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Age
8
-
Weight
8-8
9(9)
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Form
3617-21
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Age
6
-
Weight
8-10
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Form
623419-
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Age
6
-
Weight
8-8
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Form
33362-1
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Age
4
-
Weight
8-8
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Form
8/11215-
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Age
8
-
Weight
8-8