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1(1)
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Form
75-49
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Age
3
-
Weight
8-6
2(2)
3(3)
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Form
8577-42
-
Age
3
-
Weight
8-8
4(4)
5(5)
6(6)
7(7)
-
Form
55-
-
Age
3
-
Weight
8-8
8(8)
9(9)
10(10)
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Form
06-
-
Age
3
-
Weight
8-8
-
Form
288040-
-
Age
3
-
Weight
8-6
-
Form
3-8
-
Age
3
-
Weight
8-8
-
Form
958-90
-
Age
3
-
Weight
8-6