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2
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Form
-30455
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Age
4
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Weight
11-7
3
4
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Form
-0-800
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Age
4
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Weight
11-7
6
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Form
00009
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Age
4
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Weight
11-4
8
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Form
-01400
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Age
4
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Weight
11-7
9
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Form
605408
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Age
4
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Weight
10-13
10
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Form
-05656
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Age
4
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Weight
10-9
11
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Form
87-0-R
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Age
4
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Weight
10-10
12
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Form
0000
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Age
4
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Weight
11-2
13
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Form
522714
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Age
4
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Weight
10-11
14
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Form
600000
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Age
4
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Weight
10-13