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2(1)
-
Form
493-142
-
Age
3
-
Weight
8-3
3(2)
-
Form
493-414
-
Age
3
-
Weight
8-5
4(4)
-
Form
354753
-
Age
4
-
Weight
8-5
5(5)
6(6)
7(8)
-
Form
502782
-
Age
4
-
Weight
8-12
8(9)
-
Form
132238-
-
Age
4
-
Weight
8-10
-
Form
64-013
-
Age
3
-
Weight
8-3
1(7)
-
Form
57-13
-
Age
3
-
Weight
8-3