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4(4)
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Form
7860-1
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Age
3
-
Weight
8-11
5(5)
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Form
231474
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Age
3
-
Weight
8-7
11(11)
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Form
689652
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Age
8
-
Weight
8-7
12(12)
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Form
-02436
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Age
5
-
Weight
8-7
7(7)
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Form
0-5083
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Age
4
-
Weight
8-11
1(1)
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Form
223148
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Age
3
-
Weight
8-7
10(10)
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Form
123-06
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Age
7
-
Weight
8-11
9(9)
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Form
94-773
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Age
4
-
Weight
8-7
8(8)
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Form
866338
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Age
3
-
Weight
8-11
3(3)
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Form
003070
-
Age
3
-
Weight
8-7
6(6)
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Form
-05340
-
Age
3
-
Weight
8-11
2(2)
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Form
170549
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Age
7
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Weight
8-11