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1(1)
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Form
62-5501
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Age
4
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Weight
9-0
2(2)
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Form
898630
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Age
3
-
Weight
8-12
3(3)
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Form
237447
-
Age
3
-
Weight
8-12
4(4)
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Form
1-22985
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Age
3
-
Weight
8-12
5(5)
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Form
2-23624
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Age
3
-
Weight
8-12
6(6)
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Form
66-2629
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Age
3
-
Weight
8-12
7(7)
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Form
603422
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Age
3
-
Weight
8-12
8(8)
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Form
1-34454
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Age
3
-
Weight
8-12
9(9)
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Form
541574
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Age
3
-
Weight
8-12