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1(4)
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Form
5678-00
-
Age
4
-
Weight
8-8
1(1)
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Form
45777-3
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Age
4
-
Weight
8-6
2(2)
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Form
90-
-
Age
4
-
Weight
8-3
3(3)
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Form
3-3
-
Age
5
-
Weight
8-3
4(5)
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Form
8667-
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Age
3
-
Weight
8-7
5(6)
7(8)
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Form
8-50089
-
Age
3
-
Weight
8-5
8(9)
9(10)
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Form
96882-2
-
Age
4
-
Weight
8-3
10(11)
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Form
7667-54
-
Age
7
-
Weight
8-6
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Form
93364-
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Age
6
-
Weight
8-6