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1(1)
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Form
5697-76
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Age
4
-
Weight
8-9
2(2)
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Form
53-5750
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Age
4
-
Weight
8-12
3(3)
4(4)
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Form
30-9809
-
Age
5
-
Weight
8-12
5(5)
6(6)
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Form
80/79-9
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Age
5
-
Weight
8-4
7(7)
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Form
6-005
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Age
3
-
Weight
8-1
8(8)
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Form
695-449
-
Age
3
-
Weight
8-3
9(9)
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Form
534462
-
Age
3
-
Weight
8-6
10(10)
-
Form
6299
-
Age
3
-
Weight
8-1
11(11)
-
Form
052978
-
Age
3
-
Weight
8-6
12(12)
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Form
697
-
Age
3
-
Weight
8-3