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1(7)
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Form
F02-67
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Age
4
-
Weight
9-9
2(1)
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Form
74-095
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Age
4
-
Weight
9-9
4(2)
-
Form
2-7414
-
Age
4
-
Weight
8-13
5(5)
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Form
-82216
-
Age
4
-
Weight
8-11
3(8)
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Form
21-405
-
Age
4
-
Weight
9-7
7(4)
-
Form
1-7096
-
Age
4
-
Weight
8-8
8(6)
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Form
8-940
-
Age
4
-
Weight
8-8
6(9)
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Form
14267-
-
Age
4
-
Weight
8-11
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Form
3-3299
-
Age
4
-
Weight
8-6