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2(2)
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Form
3-86222
-
Age
5
-
Weight
8-8
3(4)
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Form
84-4497
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Age
4
-
Weight
8-3
4(5)
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Form
58-6534
-
Age
3
-
Weight
7-13
5(7)
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Form
3-74340
-
Age
6
-
Weight
8-8
6(8)
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Form
5224-
-
Age
3
-
Weight
8-6
7(9)
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Form
040522
-
Age
4
-
Weight
8-8
8(10)
9(11)
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Form
856-67
-
Age
4
-
Weight
8-12
1(1)
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Form
47-93
-
Age
4
-
Weight
8-12
2(3)
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Form
80995
-
Age
5
-
Weight
8-8