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1(1)
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Form
74-4608
-
Age
4
-
Weight
8-4
1(5)
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Form
35-7415
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Age
4
-
Weight
8-10
2(2)
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Form
5712-00
-
Age
8
-
Weight
8-6
3(3)
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Form
22-1211
-
Age
5
-
Weight
8-6
4(4)
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Form
9-53321
-
Age
4
-
Weight
8-4
5(6)
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Form
91-8143
-
Age
5
-
Weight
8-7
6(7)
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Form
8-01378
-
Age
4
-
Weight
7-8