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2(9)
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Form
582-326
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Age
4
-
Weight
9-6
3(2)
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Form
0785
-
Age
4
-
Weight
9-6
4(5)
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Form
00-74
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Age
4
-
Weight
9-6
5(8)
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Form
9626-93
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Age
4
-
Weight
9-6
6(4)
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Form
94-805
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Age
4
-
Weight
9-6
7(6)
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Form
0087-70
-
Age
4
-
Weight
9-6
8(7)
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Form
0896-39
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Age
5
-
Weight
9-6
9(1)
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Form
54345-4
-
Age
5
-
Weight
9-6
10(10)
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Form
00-80
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Age
4
-
Weight
9-6
11(11)
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Form
0-0000
-
Age
4
-
Weight
9-6
12(3)
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Form
0035-62
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Age
4
-
Weight
9-6