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1(1)
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Form
5-840
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Age
4
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Weight
8-11
3(3)
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Form
60-8234
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Age
5
-
Weight
8-11
5(5)
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Form
369427
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Age
4
-
Weight
8-11
6(6)
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Form
7-00853
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Age
4
-
Weight
8-4
7(7)
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Form
765092-
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Age
5
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Weight
8-4
8(8)
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Form
00-
-
Age
4
-
Weight
8-11
9(9)
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Form
960-
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Age
3
-
Weight
8-6
10(10)
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Form
579
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Age
3
-
Weight
8-6
11(11)
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Form
5/979-00
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Age
5
-
Weight
8-4
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Form
6-55448
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Age
4
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Weight
8-11