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1(1)
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Form
69-3393
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Age
4
-
Weight
8-8
2(2)
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Form
87-6050
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Age
3
-
Weight
8-6
3(3)
4(4)
5(5)
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Form
52-2
-
Age
3
-
Weight
8-6
6(6)
-
Form
572955
-
Age
4
-
Weight
8-6
7(7)
-
Form
423
-
Age
3
-
Weight
8-6
9(9)
-
Form
4-20504
-
Age
4
-
Weight
8-6
11(11)
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Form
662253
-
Age
4
-
Weight
8-6
-
Form
6-004
-
Age
3
-
Weight
8-6