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2(2)
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Form
070876
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Age
3
-
Weight
8-7
12(12)
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Form
7-0068
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Age
3
-
Weight
8-3
6(6)
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Form
0-7800
-
Age
3
-
Weight
8-7
3(3)
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Form
-8-80-
-
Age
3
-
Weight
8-7
10(10)
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Form
097000
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Age
3
-
Weight
8-7
8(8)
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Form
0-000
-
Age
3
-
Weight
8-7
4(4)
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Form
-0-007
-
Age
3
-
Weight
8-7
9(9)
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Form
-0-087
-
Age
3
-
Weight
8-3
5(5)
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Form
800039
-
Age
3
-
Weight
8-7
1(1)
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Form
00-0-
-
Age
3
-
Weight
8-11
11(11)
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Form
0-0-
-
Age
3
-
Weight
8-11
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Form
00-098
-
Age
3
-
Weight
8-7