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1(1)
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Form
55-3453
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Age
5
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Weight
8-5
2(2)
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Form
514655
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Age
4
-
Weight
8-7
3(3)
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Form
37622-4
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Age
5
-
Weight
8-7
4(4)
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Form
6-78626
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Age
5
-
Weight
8-0
5(5)
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Form
4324-47
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Age
5
-
Weight
8-7
6(6)
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Form
555-528
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Age
4
-
Weight
8-7
7(7)
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Form
800-799
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Age
4
-
Weight
8-5
8(8)
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Form
195041
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Age
3
-
Weight
8-5
9(9)
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Form
5557-52
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Age
5
-
Weight
8-7
10(10)
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Form
866157
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Age
3
-
Weight
8-1