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1(1)
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Form
43-5156
-
Age
3
-
Weight
7-12
2(2)
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Form
24-1211
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Age
4
-
Weight
8-4
3(3)
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Form
3-31187
-
Age
3
-
Weight
7-12
4(4)
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Form
5517-89
-
Age
4
-
Weight
8-4
5(5)
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Form
2314-97
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Age
5
-
Weight
8-4
6(6)
-
Form
1115-53
-
Age
8
-
Weight
8-10
7(7)
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Form
123433
-
Age
5
-
Weight
7-13