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1(9)
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Form
74-2652
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Age
5
-
Weight
8-6
1(4)
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Form
839-56
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Age
4
-
Weight
8-11
2(1)
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Form
073-
-
Age
3
-
Weight
8-4
3(2)
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Form
0/39480-
-
Age
5
-
Weight
8-11
4(3)
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Form
3/8603-0
-
Age
5
-
Weight
8-11
5(5)
6(6)
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Form
074963-
-
Age
5
-
Weight
8-11
7(7)
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Form
08779-7
-
Age
4
-
Weight
8-11
8(8)
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Form
25/
-
Age
5
-
Weight
8-11