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3(1)
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Form
22-481
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Age
4
-
Weight
9-4
2(3)
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Form
253-0P
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Age
8
-
Weight
9-5
7(4)
-
Form
3147-6
-
Age
5
-
Weight
9-1
1(7)
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Form
416-27
-
Age
4
-
Weight
9-8
4(8)
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Form
300-97
-
Age
5
-
Weight
9-3
9(6)
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Form
010773
-
Age
5
-
Weight
8-2
8(2)
-
Form
235-78
-
Age
6
-
Weight
8-12
6(9)
-
Form
338011
-
Age
9
-
Weight
9-1
5(5)
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Form
697-91
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Age
4
-
Weight
9-2