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1(1)
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Form
807
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Age
3
-
Weight
8-5
2(2)
3(3)
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Form
6042
-
Age
3
-
Weight
8-5
4(4)
5(5)
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Form
748-
-
Age
3
-
Weight
8-5
6(6)
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Form
7889
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Age
4
-
Weight
8-12
7(7)
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Form
562
-
Age
3
-
Weight
8-5
8(8)
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Form
28-8943
-
Age
4
-
Weight
8-12
9(9)
10(10)
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Form
72/0095-
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Age
5
-
Weight
8-12
11(11)