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1(5)
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Form
794079
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Age
4
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Weight
8-11
1(10)
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Form
70-747
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Age
3
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Weight
8-4
2(1)
3(2)
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Form
40553
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Age
3
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Weight
8-4
4(3)
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Form
44-9204
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Age
3
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Weight
8-4
5(4)
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Form
08888
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Age
3
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Weight
8-4
6(6)
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Form
434723
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Age
4
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Weight
8-11
7(7)
8(8)
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Form
665625
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Age
3
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Weight
8-4
9(9)
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Form
5/969-98
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Age
4
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Weight
8-11
11(12)