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1(1)
2(2)
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Form
5-47658
-
Age
3
-
Weight
8-3
3(3)
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Form
8008
-
Age
3
-
Weight
8-8
4(4)
5(5)
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Form
50-5623
-
Age
4
-
Weight
8-12
6(6)
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Form
85-0373
-
Age
3
-
Weight
8-8
7(7)
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Form
9967
-
Age
3
-
Weight
8-8
8(8)
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Form
487610
-
Age
3
-
Weight
8-8
9(9)
-
Form
694673
-
Age
6
-
Weight
8-7
10(10)
-
Form
60-7552
-
Age
4
-
Weight
8-12
11(11)
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Form
9-75487
-
Age
4
-
Weight
8-12
12(12)
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Form
332-622
-
Age
3
-
Weight
8-3