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1(1)
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Form
9-18413
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Age
11
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Weight
8-9
2(2)
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Form
367-004
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Age
4
-
Weight
8-9
3(3)
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Form
432283
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Age
6
-
Weight
8-4
4(4)
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Form
436255
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Age
7
-
Weight
8-9
5(5)
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Form
643327
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Age
5
-
Weight
8-9
6(6)
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Form
899766
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Age
8
-
Weight
8-9
7(7)
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Form
27746-3
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Age
8
-
Weight
8-9
8(8)
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Form
35-5643
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Age
7
-
Weight
8-9
9(9)
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Form
698-433
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Age
5
-
Weight
8-9