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1(3)
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Form
5-00860
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Age
4
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Weight
9-6
2(11)
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Form
5337
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Age
3
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Weight
9-2
3(4)
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Form
0736
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Age
3
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Weight
9-2
4(7)
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Form
636640
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Age
3
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Weight
9-2
5(2)
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Form
995977
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Age
3
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Weight
9-2
6(1)
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Form
560
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Age
3
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Weight
9-2
7(5)
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Form
009708
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Age
3
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Weight
9-2
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