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1(1)
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Form
15635-5
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Age
4
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Weight
8-1
3(3)
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Form
41563-4
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Age
4
-
Weight
8-6
4(4)
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Form
342-683
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Age
4
-
Weight
8-6
5(5)
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Form
56931-2
-
Age
4
-
Weight
8-1
6(6)
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Form
3219-81
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Age
7
-
Weight
8-8
9(9)
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Form
372259-
-
Age
4
-
Weight
8-6
-
Form
4425-16
-
Age
5
-
Weight
8-6
-
Form
4582-31
-
Age
4
-
Weight
8-8
-
Form
42112-7
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Age
5
-
Weight
8-8