SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
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Species I Number 
Dates: processed . —ALAy /v_/ JjAf.— collected z^lpJ:j-L 
Locality 
X_5 r 
4_f_ 
Sex <?_ ((dissection) plumage soft parts — LyALAJL 1- _ n_ _c A, _ ) 
v.o x /r~. 
Age skull plumage soft parts ) 
T Fat dr- Molt 
1 A- /AA yS~<P *-7 
Weight 
Disposition: ( skin 
alcoholic discard) Preparator: 
Ectoparasite Exam: Visual TAl Other 
Ectoparasites ^J?AL A: 
Ectoparasite Virus Report 
Blood Sample: Single Pool — 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks tXX X 
HI N 
Virus 
