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1(1)
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Form
86-3183
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Age
6
-
Weight
8-0
2(2)
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Form
5-60021
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Age
4
-
Weight
8-9
3(3)
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Form
267547-
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Age
5
-
Weight
8-7
4(4)
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Form
421-633
-
Age
4
-
Weight
8-7
5(5)
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Form
043426
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Age
4
-
Weight
8-7
6(6)
-
Form
219355
-
Age
4
-
Weight
8-7
7(7)
-
Form
372-296
-
Age
4
-
Weight
8-7
8(8)
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Form
2/5286-8
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Age
5
-
Weight
8-0