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1(1)
2(2)
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Form
779-042
-
Age
3
-
Weight
8-8
4(4)
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Form
967-628
-
Age
3
-
Weight
8-8
5(5)
6(6)
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Form
687895
-
Age
3
-
Weight
8-8
7(7)
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Form
75538
-
Age
3
-
Weight
8-8
8(8)
10(10)
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Form
36-0664
-
Age
3
-
Weight
8-6
11(11)
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Form
344-786
-
Age
3
-
Weight
8-8
12(12)
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Form
76-
-
Age
3
-
Weight
8-8
-
Form
4348-8
-
Age
3
-
Weight
8-8