PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
1 
f) O Q 
y o o 
Species * 'Yi l Number 
Dates: processed _ ^^j2toA. _ /j- collected .AldLCzA /' 
Locality 
Sex 
£'/« / 
J. 
s * a * 
i 
(dissection plumage soft parts ) 
Age skull plumage soft parts ) 
Weight Fat 0- Molt— 
Disposition: ( skin skelton (frlcoholic^ discard) Preparator: _ y (A 1 JL JJ_ H f A/l 
Ectoparasite Exam: Visual Other 
s.P. BY, 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI ______ 
N: 
Blood Smear 
Blood Smear Results 
Remarks _i^kL-A 
HI N 
Virus 
