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3(9)
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Form
799-02
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Age
4
-
Weight
9-6
9(1)
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Form
0-97055
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Age
5
-
Weight
9-1
4(4)
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Form
800303
-
Age
4
-
Weight
9-6
7(5)
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Form
660089
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Age
4
-
Weight
9-6
1(2)
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Form
8-52673
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Age
4
-
Weight
9-6
2(3)
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Form
979266
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Age
4
-
Weight
9-6
5(6)
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Form
440000
-
Age
4
-
Weight
9-6
6(8)
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Form
387522
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Age
5
-
Weight
9-6
8(7)
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Form
4040
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Age
4
-
Weight
9-1