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53-2225
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5
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6
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8-6
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2(8)
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Form
143-141
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Age
6
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Weight
8-8
3(1)
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Form
63454-6
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5
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160-212
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5
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2/3068-6
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Age
5
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6/7621-4
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6
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435-331
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Age
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