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10(4)
-
Form
72-4870
-
Age
3
-
Weight
8-4
9(1)
-
Form
46-6208
-
Age
3
-
Weight
8-5
8(13)
-
Form
045305
-
Age
3
-
Weight
8-8
5(3)
-
Form
942865
-
Age
3
-
Weight
8-11
2(7)
-
Form
238643
-
Age
3
-
Weight
9-3
3(2)
-
Form
8856
-
Age
3
-
Weight
9-2
11(5)
-
Form
51-0664
-
Age
3
-
Weight
8-2
4(10)
-
Form
1-41024
-
Age
3
-
Weight
8-12
14(14)
-
Form
070691
-
Age
3
-
Weight
8-0
1(11)
-
Form
31-6807
-
Age
3
-
Weight
9-6
13(12)
12(8)
-
Form
506890
-
Age
3
-
Weight
8-2
6(6)
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Form
0545
-
Age
3
-
Weight
8-11
-
Form
6-96998
-
Age
3
-
Weight
8-9