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1(1)
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Form
59-6675
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Age
3
-
Weight
8-4
2(2)
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Form
555243
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Age
3
-
Weight
8-4
3(3)
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Form
85-6
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Age
4
-
Weight
8-10
4(4)
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Form
8747-22
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Age
7
-
Weight
8-10
5(5)
6(6)
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Form
547
-
Age
6
-
Weight
8-10
7(7)
-
Form
5-00072
-
Age
3
-
Weight
8-4
8(8)
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Form
308652
-
Age
3
-
Weight
8-4
10(10)
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Form
00-6
-
Age
3
-
Weight
8-4
11(11)
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Form
242223
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Age
3
-
Weight
8-4