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2(3)
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Form
203543
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Age
4
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Weight
9-6
3(10)
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Form
0005
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Age
4
-
Weight
9-6
4(11)
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Form
0346
-
Age
4
-
Weight
9-6
5(4)
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Form
3-88507
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Age
4
-
Weight
9-6
6(9)
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Form
906659
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Age
4
-
Weight
9-6
7(7)
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Form
944740
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Age
4
-
Weight
9-6
8(6)
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Form
0-00634
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Age
5
-
Weight
9-6
9(5)
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Form
300006
-
Age
5
-
Weight
9-6
11(1)
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Form
9832
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Age
4
-
Weight
9-6
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Form
8-00800
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Age
4
-
Weight
9-6