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2(1)
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Form
85-072
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Age
3
-
Weight
8-2
3(2)
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Form
8756
-
Age
3
-
Weight
8-7
4(3)
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Form
9998
-
Age
3
-
Weight
8-7
5(4)
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Form
879
-
Age
3
-
Weight
8-7
6(5)
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Form
652435
-
Age
3
-
Weight
8-7
7(6)
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Form
3-67960
-
Age
3
-
Weight
8-7
8(7)
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Form
5733
-
Age
3
-
Weight
8-7
9(9)
-
Form
537654
-
Age
4
-
Weight
8-12
10(10)
-
Form
0979
-
Age
4
-
Weight
8-12
11(11)
12(12)
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Form
56-437
-
Age
3
-
Weight
8-7
1(8)
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Form
83-6794
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Age
4
-
Weight
8-12