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1(4)
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Form
75-5123
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Age
4
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Weight
8-10
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Form
962717
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Age
5
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Weight
8-10
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Form
249418
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Age
5
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Weight
8-10
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Form
143244
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Age
5
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Weight
8-10
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Form
647174
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Age
8
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Weight
8-10
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Form
0-66221
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Age
8
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Weight
8-10
6(6)
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Form
856167
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Age
6
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Weight
8-5
8(8)
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Form
65-3217
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Age
7
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Weight
8-10
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Form
1-33436
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Age
5
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Weight
8-10
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Form
431757
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Age
5
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Weight
8-10
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Form
514550
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Age
5
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Weight
8-10