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2(2)
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Form
12-001
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Age
7
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Weight
8-9
12(12)
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Form
113145
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Age
4
-
Weight
8-9
11(11)
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Form
554159
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Age
7
-
Weight
8-9
6(6)
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Form
00-56-
-
Age
5
-
Weight
8-5
8(8)
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Form
880384
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Age
5
-
Weight
8-5
10(10)
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Form
846354
-
Age
5
-
Weight
8-9
5(5)
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Form
743408
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Age
6
-
Weight
8-9
4(4)
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Form
722-09
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Age
8
-
Weight
9-0
7(7)
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Form
0-80-0
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Age
4
-
Weight
8-9
9(9)
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Form
-08936
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Age
7
-
Weight
9-0
1(1)
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Form
8686-0
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Age
6
-
Weight
9-0
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Form
008-00
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Age
4
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Weight
8-9