SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species Number 
Dates: processed - / 9(1^ c0 ]] ec t e d l 
Locality 
& 
V' 
soft parts’ n 
Sex L — (dissection plumage 
Age — /_! — skull /plumage' } soft parts Cl f' p r f **r\ df r / <* 'J~ rl & \ 
w f <~ z ,r ‘ — 1 
. S’: fi- / 
Disposition: ( skin skelton ^alcoholic J discard) Preparator: 
Ectoparasite Exam: Visual Other 
9 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
HI 
N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks /^L L *»?_ p_ ' < 'Af_ l P_ p _ ^ t^ O^’ 
L/jJfti. _Cl ?JjQ±:<2L /<2_ L CL 
