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12(5)
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Form
84-58
-
Age
4
-
Weight
9-1
1(14)
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Form
44-3735
-
Age
4
-
Weight
9-6
2(8)
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Form
053-8
-
Age
4
-
Weight
9-6
11(7)
3(2)
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Form
008800
-
Age
4
-
Weight
9-6
4(1)
-
Form
725446
-
Age
4
-
Weight
9-6
6(3)
-
Form
225-505
-
Age
6
-
Weight
9-6
7(13)
-
Form
986
-
Age
4
-
Weight
9-6
8(6)
9(9)
10(12)
13(4)
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Form
87-00
-
Age
4
-
Weight
9-6
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Form
44-0703
-
Age
4
-
Weight
9-6
-
Form
038003
-
Age
4
-
Weight
9-6