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1(10)
1(1)
2(2)
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Form
585-222
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Age
3
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Weight
8-9
3(3)
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Form
65-4472
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Age
3
-
Weight
8-9
4(4)
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Form
827-3
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Age
3
-
Weight
8-9
5(5)
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Form
457-565
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Age
3
-
Weight
8-9
6(6)
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Form
78626-9
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Age
3
-
Weight
8-9
7(7)
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Form
8-2
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Age
3
-
Weight
8-9
8(8)
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Form
76-29
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Age
3
-
Weight
8-9
9(9)
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Form
80-76
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Age
3
-
Weight
8-9
10(11)
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Form
396-424
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Age
3
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Weight
8-9