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8(8)
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Form
8740-69
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Age
6
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Weight
9-6
3(3)
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Form
750-696
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Age
4
-
Weight
9-0
6(6)
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Form
005483
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Age
4
-
Weight
9-4
5(5)
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Form
640-0-02
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Age
7
-
Weight
9-6
2(2)
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Form
11-000-9
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Age
4
-
Weight
9-4
7(7)
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Form
1-70-784
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Age
5
-
Weight
9-6
4(4)
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Form
78645-6
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Age
4
-
Weight
9-4
9(9)
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Form
608-0-9-6
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Age
5
-
Weight
9-6
11(11)
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Form
616-90-0-
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Age
4
-
Weight
9-4
1(1)
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Form
00-0000-
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Age
4
-
Weight
9-4
10(10)
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Form
1-89-500-
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Age
4
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Weight
9-4