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3-58109
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Age
4
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5
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Weight
9-6
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Form
32-7367
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Age
5
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Weight
9-6
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Form
623620
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4
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4
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610-201
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4
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007008
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6
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0-90048
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5
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153430
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03-1030
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4
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31-0000
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127059
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61-9000
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08-6800
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4
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