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3(3)
7(7)
4(4)
1(1)
9(9)
8(8)
5(5)
15(15)
-
Form
892-06
-
Age
2
-
Weight
8-5
11(11)
-
Form
638-0
-
Age
2
-
Weight
8-3
10(10)
16(16)
2(2)
12(12)
-
Form
65-37
-
Age
2
-
Weight
8-9
13(13)
-
Form
050-
-
Age
2
-
Weight
8-7
6(6)
-
Form
646-87
-
Age
2
-
Weight
8-9
14(14)