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1(4)
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Form
141273-
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Age
6
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Weight
8-5
1(3)
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Form
614-331
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Age
4
-
Weight
8-5
2(1)
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Form
321604/
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Age
4
-
Weight
8-5
3(2)
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Form
4363-16
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Age
4
-
Weight
8-7
4(5)
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Form
2212-4
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Age
4
-
Weight
8-5
5(6)
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Form
314
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Age
4
-
Weight
8-7
6(7)
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Form
1146-73
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Age
4
-
Weight
8-5
7(8)
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Form
3500-00
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Age
7
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Weight
8-5