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1
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Form
5055
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Age
4
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Weight
10-7
2
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Form
P65764
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Age
4
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Weight
10-7
3
4
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Form
0762
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Age
4
-
Weight
10-7
5
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Form
64/5-343
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Age
4
-
Weight
10-7
6
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Form
513F
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Age
4
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Weight
10-7
7
8
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Form
41
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Age
4
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Weight
10-3
9
10
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Form
P68-5
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Age
4
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Weight
10-3
11
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Form
90
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Age
4
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Weight
10-3
12
13
14
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Form
28715
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Age
4
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Weight
10-3
15
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Form
PP
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Age
4
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Weight
10-3
16
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Form
68-0807
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Age
4
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Weight
10-3