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1(1)
-
Form
70-2212
-
Age
5
-
Weight
8-9
2(2)
-
Form
431613
-
Age
3
-
Weight
8-4
3(3)
-
Form
131355
-
Age
4
-
Weight
8-2
4(4)
-
Form
0-34121
-
Age
5
-
Weight
8-4
5(5)
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Form
352254
-
Age
5
-
Weight
8-7
6(6)
-
Form
531736
-
Age
4
-
Weight
8-2
7(7)
-
Form
456457
-
Age
6
-
Weight
8-7