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1(5)
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Form
241
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Age
3
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Weight
9-2
2(10)
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Form
4-95816
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Age
3
-
Weight
9-2
3(8)
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Form
100208
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Age
3
-
Weight
9-2
4(9)
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Form
33214
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Age
3
-
Weight
9-2
5(1)
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Form
469919
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Age
3
-
Weight
9-2
6(3)
7(4)
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Form
5-006
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Age
3
-
Weight
8-9
8(7)
9(11)
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11(12)
12(2)