SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
T- ^ V 
Species _ _ AAcLACLcct_T Number 
Dates: processed collected {_ 
Locality 
/ 
Sex (dissection plumage soft parts ) 
Age skull plumage soft parts 
Weight 
Fat Arc Molt_~ 
Disposition: ( skin skelton (alcoholic) discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
S, /? t 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results r 
Remarks _ _ _ Q A. - _ _ _ j>W_ _ m* -8- -~A L 1 L _ _ _ _ 
N 
Virus 
