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1(1)
2(2)
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Form
28-5585
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Age
5
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Weight
8-11
3(3)
4(4)
5(5)
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Form
425327
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Age
3
-
Weight
8-8
6(6)
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Form
75-4679
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Age
3
-
Weight
8-8
7(7)
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Form
07/
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Age
5
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Weight
8-11
8(8)
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Form
07746
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Age
3
-
Weight
8-8
9(9)
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Form
8-08264
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Age
3
-
Weight
8-8
10(10)
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Form
336645-
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Age
6
-
Weight
8-11
11(11)
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Form
539996
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Age
3
-
Weight
8-8
12(12)
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Form
044562
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Age
3
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Weight
8-8