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3(1)
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Form
58-005
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Age
5
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Weight
9-5
1(11)
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Form
5-0059
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Age
7
-
Weight
9-6
7(5)
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Form
95-028
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Age
9
-
Weight
9-1
6(6)
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Form
0-7804
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Age
11
-
Weight
9-1
8(7)
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Form
-39694
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Age
8
-
Weight
8-9
4(2)
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Form
3-0000
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Age
5
-
Weight
9-2
9(9)
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Form
0-0009
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Age
7
-
Weight
8-8
11(4)
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Form
000-07
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Age
8
-
Weight
8-8
2(3)
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Form
5-5088
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Age
7
-
Weight
9-5
5(8)
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Form
567-08
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Age
4
-
Weight
9-2
10(10)
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Form
0-00F0
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Age
5
-
Weight
8-8