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1(6)
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Form
827
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Age
4
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Weight
9-6
2(9)
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Form
020659
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Age
4
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Weight
9-6
3(4)
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Form
220765
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Age
6
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Weight
9-6
4(8)
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Form
44-5697
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Age
4
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Weight
9-6
5(7)
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Form
752000
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Age
5
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Weight
9-6
6(1)
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Form
000000
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Age
4
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Weight
9-6
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