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2(2)
3(3)
-
Form
68-884
-
Age
4
-
Weight
8-5
4(4)
-
Form
00-0000
-
Age
4
-
Weight
8-10
5(5)
-
Form
76-466
-
Age
4
-
Weight
8-5
6(6)
-
Form
454346
-
Age
3
-
Weight
8-7
7(7)
-
Form
443585
-
Age
4
-
Weight
8-10
8(8)
9(9)
-
Form
87-408
-
Age
3
-
Weight
8-7
10(10)
-
Form
57224
-
Age
4
-
Weight
8-10
11(11)
-
Form
8508
-
Age
3
-
Weight
8-0
-
Form
584668
-
Age
3
-
Weight
7-11
-
Form
494255
-
Age
3
-
Weight
8-7
-
Form
0572
-
Age
3
-
Weight
8-7