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5(5)
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Form
65051-1
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Age
4
-
Weight
8-8
4(4)
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Form
921-702
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Age
4
-
Weight
8-8
3(3)
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Form
22-64
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Age
3
-
Weight
8-3
1(1)
-
Form
325323
-
Age
4
-
Weight
8-8
8(8)
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Form
48-1326
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Age
6
-
Weight
8-8
11(11)
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Form
25-3075
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Age
4
-
Weight
8-8
-
Form
446-387
-
Age
4
-
Weight
8-8
-
Form
12296-5
-
Age
4
-
Weight
8-8
-
Form
18-8423
-
Age
3
-
Weight
8-3
-
Form
72-1
-
Age
4
-
Weight
8-10
-
Form
7452-66
-
Age
4
-
Weight
8-8
-
Form
3/512-22
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Age
5
-
Weight
8-8
-
Form
6614
-
Age
3
-
Weight
8-3
-
Form
707312
-
Age
3
-
Weight
8-3