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1
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Form
12221-0
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Age
5
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Weight
11-3
2
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Form
5/40675-
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Age
5
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Weight
10-12
3
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Form
0016-30
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Age
4
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Weight
10-10
4
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Form
950-
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Age
5
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Weight
10-10
5
6
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Form
2-021
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Age
4
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Weight
10-10
7
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Form
5106-2
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Age
4
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Weight
10-10
8
9
10
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Form
6/
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Age
4
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Weight
10-6
11
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Form
0-54
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Age
4
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Weight
10-3
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13