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11(5)
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Form
255-02
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Age
4
-
Weight
8-1
1(6)
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Form
557-94
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Age
4
-
Weight
9-8
5(7)
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Form
61-677
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Age
4
-
Weight
8-13
6(2)
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Form
18765-
-
Age
4
-
Weight
8-12
4(8)
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Form
747-48
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Age
4
-
Weight
8-13
9(11)
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Form
7-1072
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Age
4
-
Weight
8-5
2(3)
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Form
6232-2
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Age
4
-
Weight
9-1
7(9)
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Form
07-448
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Age
4
-
Weight
8-9
8(10)
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Form
72-372
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Age
4
-
Weight
8-7
3(4)
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Form
36894-
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Age
4
-
Weight
9-1
10(1)
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Form
1055-6
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Age
4
-
Weight
8-2