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1(1)
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Form
40-0075
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Age
7
-
Weight
8-8
3(3)
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Form
8-05740
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Age
5
-
Weight
8-1
4(4)
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Form
6/1-3485
-
Age
5
-
Weight
8-8
5(5)
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Form
8-04760
-
Age
5
-
Weight
8-1
6(6)
-
Form
26-8456
-
Age
4
-
Weight
8-8
8(8)
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Form
61-5618
-
Age
3
-
Weight
8-0
9(9)
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Form
000876-
-
Age
5
-
Weight
8-8
-
Form
61-6467
-
Age
5
-
Weight
8-3
-
Form
122-167
-
Age
3
-
Weight
8-0