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1(9)
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Form
9-65290
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Age
4
-
Weight
9-6
2(1)
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Form
960873
-
Age
5
-
Weight
9-6
3(12)
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Form
0-66080
-
Age
4
-
Weight
9-6
4(13)
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Form
005
-
Age
4
-
Weight
9-6
6(2)
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Form
08-0000
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Age
4
-
Weight
9-6
7(7)
8(11)
9(10)
10(8)
11(5)
12(6)
13(4)
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Form
0-00807
-
Age
5
-
Weight
9-6