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11(11)
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Form
-6190-
-
Age
3
-
Weight
8-7
4(4)
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Form
868563
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Age
3
-
Weight
8-9
9(9)
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Form
843185
-
Age
3
-
Weight
8-7
10(10)
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Form
002
-
Age
3
-
Weight
8-7
3(3)
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Form
090396
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Age
3
-
Weight
8-7
7(7)
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Form
-00004
-
Age
3
-
Weight
8-7
6(6)
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Form
009508
-
Age
3
-
Weight
8-9
5(5)
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Form
055614
-
Age
3
-
Weight
8-7
2(2)
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Form
189-00
-
Age
3
-
Weight
8-7
8(8)
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Form
00-005
-
Age
3
-
Weight
8-7
1(1)
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Form
0-0007
-
Age
3
-
Weight
8-9