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1(1)
2(2)
3(3)
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Form
75-4665
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Age
3
-
Weight
8-5
4(4)
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Form
6822
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Age
3
-
Weight
8-5
5(5)
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Form
77-999
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Age
3
-
Weight
7-12
6(6)
7(7)
8(8)
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Form
326-554
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Age
7
-
Weight
8-11
9(9)
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Form
900668
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Age
5
-
Weight
8-6
10(10)
11(11)
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Form
88-6252
-
Age
3
-
Weight
8-5
12(12)
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Form
77-42
-
Age
3
-
Weight
8-5
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Form
867076
-
Age
3
-
Weight
7-12
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Form
352722
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Age
3
-
Weight
8-5