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1(1)
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Form
498-423
-
Age
5
-
Weight
8-12
2(2)
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Form
5-55644
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Age
3
-
Weight
8-7
3(3)
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Form
9-78568
-
Age
3
-
Weight
8-7
4(4)
5(5)
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Form
6-08555
-
Age
4
-
Weight
8-7
6(6)
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Form
6-45654
-
Age
5
-
Weight
8-12
7(7)
-
Form
6407-50
-
Age
10
-
Weight
8-12
8(8)
-
Form
345433
-
Age
3
-
Weight
8-7
9(9)
-
Form
0-43355
-
Age
5
-
Weight
8-12