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1(9)
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Form
2642-33
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Age
4
-
Weight
9-6
2(1)
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Form
002-598
-
Age
4
-
Weight
9-6
3(7)
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Form
0-25399
-
Age
4
-
Weight
9-6
5(5)
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Form
474-672
-
Age
4
-
Weight
9-6
6(4)
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Form
0-00
-
Age
5
-
Weight
9-6
7(10)
8(8)
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Form
65-
-
Age
4
-
Weight
9-6
9(11)
10(3)
11(2)
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Form
60-2656
-
Age
4
-
Weight
9-6