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1(1)
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Form
14-4170
-
Age
4
-
Weight
8-4
2(2)
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Form
72-2366
-
Age
5
-
Weight
8-4
3(3)
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Form
51079-6
-
Age
4
-
Weight
8-4
4(4)
-
Form
65-4772
-
Age
5
-
Weight
8-4
5(5)
-
Form
9125-23
-
Age
6
-
Weight
8-4
6(6)
-
Form
178-599
-
Age
4
-
Weight
7-13
7(7)
-
Form
0-76694
-
Age
3
-
Weight
8-2