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3(3)
-
Form
70-002
-
Age
3
-
Weight
8-7
11(11)
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Form
9-5-69
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Age
3
-
Weight
8-7
5(5)
-
Form
-67073
-
Age
3
-
Weight
8-11
8(8)
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Form
0-0034
-
Age
3
-
Weight
8-3
6(6)
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Form
0-30
-
Age
3
-
Weight
8-7
4(4)
-
Form
890062
-
Age
3
-
Weight
8-7
10(10)
-
Form
089765
-
Age
3
-
Weight
8-7
7(7)
-
Form
094540
-
Age
3
-
Weight
8-11
2(2)
-
Form
005696
-
Age
3
-
Weight
8-11
1(1)
-
Form
-00635
-
Age
3
-
Weight
8-7
9(9)
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Form
820009
-
Age
3
-
Weight
8-5