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1(1)
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Form
41-6355
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Age
4
-
Weight
8-6
2(2)
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Form
178-221
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Age
4
-
Weight
8-6
3(3)
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Form
23-1673
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Age
4
-
Weight
8-6
4(4)
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Form
463-132
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Age
4
-
Weight
8-6
5(5)
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Form
1920-42
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Age
4
-
Weight
8-6
6(6)
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Form
12/2119-
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Age
4
-
Weight
8-6
7(7)
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Form
54-4771
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Age
4
-
Weight
8-6
8(8)
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Form
911222
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Age
4
-
Weight
8-6