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5(6)
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Form
87-8643
-
Age
4
-
Weight
8-3
6(7)
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Form
42-4220
-
Age
4
-
Weight
8-8
2(1)
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Form
54-5324
-
Age
4
-
Weight
8-6
1(2)
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Form
8-26561
-
Age
4
-
Weight
8-6
1(5)
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Form
7866-77
-
Age
4
-
Weight
8-6
3(3)
-
Form
613697
-
Age
3
-
Weight
8-2
4(4)
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Form
5-86513
-
Age
3
-
Weight
8-5
7(8)
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Form
0-86924
-
Age
4
-
Weight
8-8