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5(5)
-
Form
83-514
-
Age
11
-
Weight
8-11
3(3)
-
Form
34-965
-
Age
4
-
Weight
8-11
1(1)
-
Form
119-72
-
Age
4
-
Weight
8-7
7(7)
-
Form
809656
-
Age
6
-
Weight
8-11
8(8)
-
Form
82-412
-
Age
5
-
Weight
8-7
2(2)
-
Form
776-34
-
Age
5
-
Weight
8-7
6(6)
-
Form
734513
-
Age
5
-
Weight
8-7
4(4)
-
Form
00-261
-
Age
5
-
Weight
8-7