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2(2)
1(1)
-
Form
0-7974
-
Age
3
-
Weight
8-7
10(10)
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Form
69-
-
Age
3
-
Weight
8-7
11(11)
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Form
87-097
-
Age
3
-
Weight
8-7
9(9)
5(5)
-
Form
700-6
-
Age
3
-
Weight
8-7
7(7)
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Form
704900
-
Age
3
-
Weight
8-7
3(3)
-
Form
80-
-
Age
3
-
Weight
8-7
4(4)
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Form
6-0979
-
Age
3
-
Weight
8-7
8(8)
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Form
000070
-
Age
3
-
Weight
8-11
6(6)
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Form
0-0
-
Age
3
-
Weight
8-11