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2(4)
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Form
90-8240
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Age
4
-
Weight
9-6
3(1)
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Form
724022
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Age
5
-
Weight
9-6
4(2)
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Form
00-6466
-
Age
4
-
Weight
9-6
5(3)
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Form
070-500
-
Age
4
-
Weight
9-6
6(6)
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Form
9-84050
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Age
5
-
Weight
9-6
7(7)
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Form
080-006
-
Age
4
-
Weight
9-6
8(10)
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Form
655340
-
Age
5
-
Weight
9-6
9(5)
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Form
00-80
-
Age
5
-
Weight
9-6
10(8)
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Form
000000-
-
Age
5
-
Weight
9-6
11(11)
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Form
0-05
-
Age
4
-
Weight
9-6
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Form
002480
-
Age
4
-
Weight
9-6