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1(1)
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Form
8-68435
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Age
5
-
Weight
8-2
2(2)
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Form
8/3525-3
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Age
5
-
Weight
8-9
3(3)
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Form
156-000
-
Age
5
-
Weight
8-9
4(4)
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Form
4213-29
-
Age
5
-
Weight
8-9
5(5)
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Form
7-75810
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Age
9
-
Weight
8-5
6(6)
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Form
916-686
-
Age
5
-
Weight
8-2
7(7)
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Form
0-16138
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Age
4
-
Weight
8-9
8(8)
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Form
070-221
-
Age
5
-
Weight
8-12
9(9)
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Form
8-55374
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Age
4
-
Weight
8-9
10(10)
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Form
513-555
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Age
4
-
Weight
8-9