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2(9)
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Form
56-5
-
Age
4
-
Weight
9-6
3(4)
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Form
330756
-
Age
5
-
Weight
9-6
4(10)
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Form
8-004
-
Age
4
-
Weight
9-6
5(5)
6(14)
7(6)
-
Form
753505
-
Age
3
-
Weight
9-4
8(15)
-
Form
958
-
Age
3
-
Weight
9-4
9(12)
10(3)
11(1)
12(7)
13(2)
14(16)
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Form
540057
-
Age
5
-
Weight
9-6
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Form
0089
-
Age
3
-
Weight
9-4