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2(1)
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Form
72-6317
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Age
4
-
Weight
8-9
3(2)
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Form
9-51063
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Age
4
-
Weight
8-7
4(3)
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Form
8-97613
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Age
4
-
Weight
8-11
5(6)
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Form
4-65778
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Age
6
-
Weight
8-7
6(7)
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Form
0-84835
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Age
6
-
Weight
8-7
7(8)
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Form
9-54455
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Age
6
-
Weight
8-7
8(9)
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Form
276414
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Age
5
-
Weight
8-11
9(10)
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Form
7-55243
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Age
5
-
Weight
8-7
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Form
522254
-
Age
4
-
Weight
8-7
1(4)
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Form
742342
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Age
4
-
Weight
8-7