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1(7)
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Form
7-80019
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Age
4
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Weight
8-10
1(5)
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Form
680-004
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Age
5
-
Weight
8-5
2(6)
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Form
799-769
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Age
8
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Weight
8-12
2(8)
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Form
4-82363
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Age
5
-
Weight
8-10
3(1)
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Form
215-546
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Age
4
-
Weight
8-12
4(2)
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Form
41203-5
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Age
7
-
Weight
8-12
5(3)
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Form
6901-87
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Age
5
-
Weight
8-12
6(4)
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Form
3-75301
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Age
3
-
Weight
8-7
7(9)
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Form
21-3654
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Age
4
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Weight
8-12