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1(1)
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Form
55-5136
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Age
6
-
Weight
8-4
3(3)
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Form
492533
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Age
8
-
Weight
8-9
4(4)
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Form
6-34212
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Age
4
-
Weight
8-9
5(5)
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Form
052244
-
Age
8
-
Weight
8-9
6(6)
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Form
31-0222
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Age
5
-
Weight
8-9
7(7)
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Form
7/64451
-
Age
5
-
Weight
8-12
8(8)
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Form
681-662
-
Age
4
-
Weight
8-9
-
Form
012346
-
Age
4
-
Weight
8-9