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1(1)
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Form
122-5
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Age
3
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Weight
7-13
4(4)
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Form
63-5216
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Age
5
-
Weight
8-6
7(7)
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Form
524-327
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Age
4
-
Weight
8-6
8(8)
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Form
913-21
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Age
3
-
Weight
7-13
9(9)
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Form
62016-1
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Age
5
-
Weight
8-8
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Form
76247-1
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Age
5
-
Weight
8-8
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Form
722573-
-
Age
5
-
Weight
8-6
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Form
6-13534
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Age
3
-
Weight
7-13
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Form
63412-3
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Age
4
-
Weight
8-6