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10(10)
1(1)
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Form
36-557
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Age
3
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Weight
8-7
4(4)
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Form
3076-0
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Age
3
-
Weight
8-11
11(11)
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Form
161780
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Age
3
-
Weight
8-7
3(3)
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Form
8709-0
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Age
3
-
Weight
8-7
2(2)
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Form
278-0
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Age
3
-
Weight
8-11
8(8)
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Form
003770
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Age
3
-
Weight
8-7
6(6)
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Form
0086-0
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Age
3
-
Weight
8-7
5(5)
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Form
76008-
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Age
3
-
Weight
8-11
7(7)
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Form
980000
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Age
3
-
Weight
8-11
9(9)
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Form
0805-0
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Age
3
-
Weight
8-7
12(12)
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Form
000090
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Age
3
-
Weight
8-11