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1(7)
1(2)
2(1)
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Form
64-6946
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Age
5
-
Weight
8-6
3(3)
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Form
80-0859
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Age
3
-
Weight
8-4
4(4)
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Form
047
-
Age
3
-
Weight
8-6
5(5)
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Form
55554/0
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Age
7
-
Weight
8-6
6(6)
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Form
6/90-
-
Age
4
-
Weight
8-6
7(8)
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Form
7356-0
-
Age
5
-
Weight
8-6
8(9)
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Form
4/36-02
-
Age
4
-
Weight
8-1
9(10)
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Form
6-09424
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Age
3
-
Weight
8-6