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1(5)
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Form
5-83041
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Age
6
-
Weight
9-6
2(6)
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Form
46-0868
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Age
6
-
Weight
9-1
3(7)
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Form
11-1494
-
Age
6
-
Weight
8-11
4(1)
-
Form
0-00862
-
Age
4
-
Weight
8-10
5(3)
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Form
054-253
-
Age
5
-
Weight
8-9
6(4)
-
Form
00-0007
-
Age
8
-
Weight
8-3
7(2)
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Form
49-4578
-
Age
6
-
Weight
8-3