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8(1)
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Form
77-5142
-
Age
3
-
Weight
8-9
1(8)
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Form
86-0328
-
Age
3
-
Weight
9-3
4(6)
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Form
6075-32
-
Age
3
-
Weight
9-2
2(3)
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Form
096
-
Age
3
-
Weight
9-2
3(5)
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Form
006-5
-
Age
3
-
Weight
9-2
5(2)
6(11)
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Form
9069-00
-
Age
3
-
Weight
8-9
7(9)
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Form
08-067
-
Age
3
-
Weight
8-9
9(7)
-
Form
958609
-
Age
3
-
Weight
8-9
10(4)
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Form
70-0
-
Age
3
-
Weight
8-9
11(10)
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Form
080
-
Age
3
-
Weight
8-9