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1(1)
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Form
69-5840
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Age
5
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Weight
8-11
2(2)
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Form
80-8082
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Age
4
-
Weight
8-11
3(3)
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Form
982
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Age
3
-
Weight
8-6
4(4)
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Form
350-
-
Age
3
-
Weight
8-6
5(5)
6(6)
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Form
7900
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Age
3
-
Weight
8-1
7(7)
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Form
08-
-
Age
3
-
Weight
8-1
8(8)
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Form
60-53
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Age
3
-
Weight
8-6
9(9)
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Form
74607-
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Age
4
-
Weight
8-11
10(10)
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Form
78-8788
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Age
3
-
Weight
8-6
12(12)
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Form
09-966
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Age
3
-
Weight
8-6