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1(1)
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Form
75-2805
-
Age
5
-
Weight
8-4
2(2)
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Form
5-82051
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Age
5
-
Weight
8-6
3(3)
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Form
941-11
-
Age
4
-
Weight
8-8
4(4)
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Form
1473-36
-
Age
6
-
Weight
8-4
5(5)
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Form
52211-2
-
Age
4
-
Weight
8-6
6(6)
-
Form
4723-37
-
Age
4
-
Weight
8-6
7(7)
-
Form
1745-74
-
Age
5
-
Weight
8-6
8(8)
-
Form
1457-31
-
Age
6
-
Weight
8-8