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2(2)
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Form
5-78445
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Age
3
-
Weight
8-3
3(3)
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Form
41300-2
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Age
4
-
Weight
8-8
4(4)
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Form
15-6362
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Age
3
-
Weight
7-12
5(5)
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Form
08/8447-
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Age
6
-
Weight
8-8
6(6)
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Form
6257/
-
Age
4
-
Weight
8-8
7(7)
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Form
66602-3
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Age
4
-
Weight
8-8
9(9)
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Form
42-4044
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Age
4
-
Weight
8-8
10(10)
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Form
741-5
-
Age
3
-
Weight
8-3
11(11)
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Form
8-68633
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Age
4
-
Weight
8-3
12(12)
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Form
67681-7
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Age
4
-
Weight
8-8
13(13)
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Form
443631
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Age
4
-
Weight
8-12
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Form
463421
-
Age
3
-
Weight
8-7