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1(1)
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Form
471-216
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Age
5
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Weight
8-3
2(2)
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Form
6735-43
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Age
4
-
Weight
8-6
3(3)
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Form
51178-2
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Age
4
-
Weight
8-6
4(4)
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Form
33721-3
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Age
4
-
Weight
8-6
5(5)
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Form
9/6478-6
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Age
4
-
Weight
8-6
6(6)
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Form
213975-
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Age
4
-
Weight
8-6
7(7)
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Form
2355-03
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Age
5
-
Weight
8-6
8(8)
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Form
97221-8
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Age
7
-
Weight
8-1
9(9)
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Form
31106-0
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Age
4
-
Weight
8-6
10(10)
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Form
43441-4
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Age
4
-
Weight
8-6