is 
a 
SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
\ 
ff 
*«% 
Dates: processed _ 
collected 
Number 
/ 6 /i'a^ 
1 
r 
— t*-' 
Locality 
Sex __ 
Age /L 
Weight 
—f 
dissectiorp plumage soft parts _ jc_ ?: sLjl _ _ ^A_ ) 
^sMulj) plumage soft parts ) 
JQ.O 
A 
/i 
Fat J__J Molt- 
Disposition: ( ^kirTP skelton alcoholic discard) Preparator: JA Sj _ t^C o v\ 
Ectoparasite Exam: Visual __L Other 
l / { r/ / a 
Ectoparasites ' 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
HI 
N 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
Positive Virus 
Blood Smear stain (s) 
Blood Smear Results 
