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1(1)
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Form
855
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Age
3
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Weight
8-6
2(2)
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Form
74-0385
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Age
4
-
Weight
8-7
3(3)
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Form
4-86445
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Age
3
-
Weight
8-6
4(4)
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Form
805634
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Age
3
-
Weight
8-6
5(5)
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Form
534553
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Age
4
-
Weight
8-7
9(9)
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Form
6062-62
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Age
4
-
Weight
8-12
10(10)
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Form
6056
-
Age
3
-
Weight
8-6
11(11)
12(12)
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Form
855532
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Age
5
-
Weight
8-12
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Form
866-535
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Age
5
-
Weight
8-12