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12(12)
-
Form
-92815
-
Age
3
-
Weight
8-8
7(11)
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Form
51
-
Age
3
-
Weight
8-12
9(3)
-
Form
11-055
-
Age
3
-
Weight
8-11
2(4)
-
Form
84-850
-
Age
3
-
Weight
9-6
6(10)
-
Form
0894
-
Age
3
-
Weight
8-12
3(9)
-
Form
888-
-
Age
3
-
Weight
9-2
11(2)
-
Form
706-20
-
Age
3
-
Weight
8-8
1(5)
-
Form
055375
-
Age
3
-
Weight
9-6
4(1)
10(7)
-
Form
00
-
Age
3
-
Weight
8-11
5(8)
-
Form
9-979
-
Age
3
-
Weight
8-12
8(6)
-
Form
0-8
-
Age
3
-
Weight
8-11