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1(1)
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Form
5-41197
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Age
4
-
Weight
8-6
2(2)
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Form
4431-28
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Age
5
-
Weight
8-6
3(3)
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Form
941-138
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Age
4
-
Weight
8-6
4(4)
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Form
022129-
-
Age
4
-
Weight
8-6
5(5)
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Form
6767-11
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Age
4
-
Weight
8-6
6(6)
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Form
6167-01
-
Age
5
-
Weight
7-13
7(7)
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Form
8/983-07
-
Age
5
-
Weight
8-6
8(8)
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Form
7124-12
-
Age
5
-
Weight
8-10