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1(4)
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Form
40-5547
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Age
5
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Weight
8-11
1(5)
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Form
8-56667
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Age
4
-
Weight
8-6
2(1)
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Form
54525
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Age
3
-
Weight
8-4
3(2)
4(3)
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Form
735336
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Age
4
-
Weight
8-11
5(6)
6(7)
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Form
07-8
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Age
3
-
Weight
8-4
7(8)
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Form
25
-
Age
4
-
Weight
8-11
8(9)
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Form
6692
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Age
3
-
Weight
8-4
9(10)
10(11)