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1(1)
2(2)
-
Form
5934-67
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Age
3
-
Weight
8-5
3(3)
4(4)
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Form
60-5695
-
Age
3
-
Weight
8-2
5(5)
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Form
76-58
-
Age
3
-
Weight
8-5
6(6)
7(7)
8(8)
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Form
49-3823
-
Age
3
-
Weight
7-11
9(9)
11(11)
-
Form
767-779
-
Age
3
-
Weight
8-5
12(12)
-
Form
29-5865
-
Age
6
-
Weight
8-9
-
Form
0-84365
-
Age
3
-
Weight
8-2