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4(13)
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Form
608-058
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Age
6
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Weight
9-6
1(14)
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Form
33-2
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Age
4
-
Weight
9-6
14(16)
12(17)
2(10)
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Form
8793-8
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Age
4
-
Weight
9-6
3(5)
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Form
09757-9
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Age
4
-
Weight
9-6
5(8)
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Form
08-0
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Age
4
-
Weight
9-6
7(15)
8(12)
9(6)
10(1)
11(3)
13(2)
15(9)
16(4)
17(11)