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1(1)
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Form
41-1313
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Age
5
-
Weight
8-5
3(3)
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Form
4-47371
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Age
4
-
Weight
8-5
4(4)
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Form
12-2114
-
Age
4
-
Weight
8-7
5(5)
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Form
1-40137
-
Age
4
-
Weight
8-5
7(7)
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Form
55-2121
-
Age
3
-
Weight
8-1
8(8)
-
Form
941111
-
Age
4
-
Weight
8-12
9(9)
-
Form
16-2111
-
Age
4
-
Weight
8-5
-
Form
16-1547
-
Age
4
-
Weight
8-5
-
Form
431511
-
Age
4
-
Weight
8-5