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1(1)
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Form
8-37553
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Age
4
-
Weight
8-9
2(2)
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Form
52164-3
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Age
4
-
Weight
8-9
4(4)
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Form
0141-55
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Age
3
-
Weight
8-4
5(5)
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Form
132216
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Age
8
-
Weight
8-9
6(6)
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Form
20-1264
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Age
5
-
Weight
8-9
7(7)
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Form
068-401
-
Age
7
-
Weight
8-9
8(8)
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Form
72-165
-
Age
3
-
Weight
8-4
9(9)
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Form
7-45814
-
Age
3
-
Weight
8-4
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Form
81643
-
Age
3
-
Weight
8-4