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1(1)
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Form
83-066
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Age
3
-
Weight
8-6
2(2)
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Form
0020-
-
Age
3
-
Weight
8-6
3(3)
4(4)
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Form
8-9579
-
Age
3
-
Weight
8-6
5(5)
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Form
563-262
-
Age
3
-
Weight
8-6
6(6)
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Form
099-800
-
Age
3
-
Weight
8-6
7(7)
8(8)
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Form
003-75
-
Age
3
-
Weight
8-6
9(9)
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Form
89-
-
Age
4
-
Weight
8-12
10(10)