Survey 
Drainage......:: Coll. No, 
Locality iM.miA..S.M£...^dM.M,3^:§M. k^. MUM^:^.....m^d 
5 f i 
County. Quadrangle 
Water Flow. 
Vegetation 
I 
Elevation 
Width. 
Bottom ... Current 
Shore Distance from shore 
Temperature: Air Water Time Weather 
Depth of Capture Depth of Water 
Method of Capture Date.. * ^ 
Collected by 
Orig preserv Time. . 
General notes: 
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