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1(1)
2(2)
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Form
537-65
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Age
3
-
Weight
8-8
3(3)
4(4)
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Form
05598-
-
Age
3
-
Weight
8-8
5(5)
6(6)
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Form
4288-3
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Age
3
-
Weight
8-8
7(7)
8(8)
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Form
89-
-
Age
3
-
Weight
8-8
9(9)
10(10)
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Form
053-6
-
Age
3
-
Weight
8-8
11(11)
12(12)
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Form
4722-33
-
Age
3
-
Weight
8-8