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1(1)
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Form
76-0076
-
Age
7
-
Weight
8-6
2(2)
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Form
6-96320
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Age
3
-
Weight
8-3
4(4)
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Form
556363
-
Age
4
-
Weight
8-6
9(9)
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Form
651978
-
Age
3
-
Weight
7-12
3(3)
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Form
243442
-
Age
4
-
Weight
8-6
5(5)
-
Form
667748
-
Age
3
-
Weight
8-3
6(6)
-
Form
352814
-
Age
3
-
Weight
8-0
7(7)
-
Form
863758
-
Age
3
-
Weight
7-12
8(8)
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Form
065673
-
Age
3
-
Weight
8-3