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1(1)
2(2)
3(3)
4(4)
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Form
76-684
-
Age
3
-
Weight
8-8
5(5)
6(6)
7(7)
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Form
2-27422
-
Age
3
-
Weight
8-8
8(8)
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Form
0-9
-
Age
3
-
Weight
8-8
9(9)
-
Form
4-4
-
Age
3
-
Weight
8-8
10(10)
-
Form
880
-
Age
3
-
Weight
8-8
-
Form
7907
-
Age
3
-
Weight
8-8
-
Form
9-0292
-
Age
3
-
Weight
8-8