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12(12)
1(1)
8(8)
7(7)
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Form
466-00
-
Age
3
-
Weight
8-5
3(3)
11(11)
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Form
68030
-
Age
3
-
Weight
8-7
13(13)
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Form
469977
-
Age
3
-
Weight
8-5
2(2)
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Form
7650-0
-
Age
3
-
Weight
8-0
5(5)
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Form
5-00
-
Age
3
-
Weight
8-7
10(10)
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Form
880566
-
Age
3
-
Weight
8-11
4(4)
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Form
674068
-
Age
3
-
Weight
8-5
9(9)
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Form
-00759
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Age
3
-
Weight
8-7
6(6)