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1(1)
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Form
2380-01
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Age
3
-
Weight
8-6
2(2)
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Form
85-5751
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Age
3
-
Weight
8-6
3(3)
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Form
03-19
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Age
3
-
Weight
8-6
4(4)
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Form
316-
-
Age
3
-
Weight
8-6
5(5)
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Form
6426-44
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Age
3
-
Weight
8-6
6(6)
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Form
1224-8
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Age
3
-
Weight
8-6
8(8)
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Form
417-
-
Age
3
-
Weight
8-6
9(9)
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Form
625-15
-
Age
3
-
Weight
8-6
10(10)
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Form
2441-75
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Age
3
-
Weight
8-6
11(11)
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Form
7515-
-
Age
3
-
Weight
8-6
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Form
2314-76
-
Age
3
-
Weight
8-6