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1(1)
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Form
8-75079
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Age
4
-
Weight
8-3
2(2)
3(3)
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Form
67457-6
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Age
3
-
Weight
8-4
4(4)
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Form
8-987
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Age
5
-
Weight
8-10
5(5)
6(6)
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Form
6-8652
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Age
3
-
Weight
8-6
7(7)
8(8)
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Form
0-00000
-
Age
3
-
Weight
8-4
9(9)
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Form
5797
-
Age
3
-
Weight
8-4
10(10)
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Form
04-2235
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Age
3
-
Weight
8-4