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1(1)
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Form
5410-58
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Age
4
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Weight
8-6
2(2)
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Form
617-705
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Age
6
-
Weight
8-6
3(3)
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Form
54417-6
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Age
6
-
Weight
8-6
4(4)
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Form
4256-23
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Age
6
-
Weight
8-10
5(5)
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Form
3263-21
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Age
5
-
Weight
8-10
6(6)
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Form
618-014
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Age
10
-
Weight
8-10
7(7)
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Form
652-752
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Age
4
-
Weight
8-6
8(8)
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Form
8317-96
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Age
7
-
Weight
8-6
9(9)
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Form
5452-13
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Age
5
-
Weight
8-8