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2(2)
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Form
83-4722
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Age
4
-
Weight
8-8
3(3)
4(4)
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Form
4-73293
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Age
4
-
Weight
8-8
5(5)
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Form
625-
-
Age
5
-
Weight
8-8
6(6)
-
Form
346379
-
Age
4
-
Weight
8-8
7(7)
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Form
59-0969
-
Age
4
-
Weight
8-8
8(8)
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Form
980-
-
Age
5
-
Weight
8-8
9(9)
-
Form
867-058
-
Age
4
-
Weight
8-8
10(10)
-
Form
57876-3
-
Age
4
-
Weight
8-8
11(11)
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Form
7786-3
-
Age
4
-
Weight
8-1
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Form
3-06483
-
Age
4
-
Weight
8-1