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1(1)
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Form
76-5974
-
Age
4
-
Weight
8-6
2(2)
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Form
12125-3
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Age
5
-
Weight
8-6
3(3)
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Form
74-0793
-
Age
8
-
Weight
8-6
5(5)
-
Form
526-382
-
Age
6
-
Weight
8-6
6(6)
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Form
54521-5
-
Age
4
-
Weight
8-6
8(8)
-
Form
717274
-
Age
6
-
Weight
8-8
-
Form
184-811
-
Age
5
-
Weight
8-11
-
Form
61-1113
-
Age
9
-
Weight
8-11