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2(5)
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Form
48-8067
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Age
4
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Weight
9-6
3(13)
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Form
50-9620
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Age
4
-
Weight
9-6
4(12)
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Form
78840-
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Age
4
-
Weight
9-6
5(10)
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Form
737068-
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Age
5
-
Weight
9-6
6(9)
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Form
000-
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Age
4
-
Weight
9-6
7(4)
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Form
50000-
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Age
4
-
Weight
9-6
8(8)
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Form
0458-46
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Age
5
-
Weight
9-6
9(3)
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Form
50-8970
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Age
5
-
Weight
9-6
10(11)
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Form
0008
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Age
4
-
Weight
9-6
13(1)
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Form
380-045
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Age
4
-
Weight
9-6