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1(1)
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Form
85289-2
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Age
5
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Weight
8-5
2(2)
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Form
74-4357
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Age
5
-
Weight
8-5
3(3)
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Form
2752-33
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Age
4
-
Weight
8-5
4(4)
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Form
661-546
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Age
4
-
Weight
8-5
5(5)
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Form
231-545
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Age
4
-
Weight
8-5
6(6)
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Form
72125-4
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Age
4
-
Weight
8-5
7(7)
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Form
62234-1
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Age
5
-
Weight
8-2
8(8)
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Form
05123-2
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Age
4
-
Weight
8-5
9(9)
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Form
50-5632
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Age
4
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Weight
7-12