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Form
3736-43
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Age
4
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Weight
9-6
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7987-63
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4
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9-6
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5834-66
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4
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4003-
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4
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4
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80064-
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4
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8932-47
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5
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809-5
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4
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06000-9
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4
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972890-
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5
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9-6
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500-050
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0080-00
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4
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08-00
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4
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0285-08
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