SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
4 
Species _ _ _ jZJJ. _ *!j. t Number 
Dates: processed _ _ A! collected J?? f ~£ _ 4 
Locality jLd- Ji/tx. ___L * 
y_ / 
(dissection plumage . soft part; 
) 
Q 
Sex ~tl- 
A. 
Age — Z_' — skull /plumagi^ softyparts ) 
Weight Fat 
MoId Isaec 4 //><^ <? > 
mb 
Disposition: ( skin skelton ^ucoholic . discard) Preparator: 
Ectoparasite Exam: Visual Other 
A 
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_ O-I/j&Ct. _ ifj4_ I'Lyl /jj_ //Jt _C Jl. I q!Tj£Ll£ J~- &. _ 
Pcujdpr 
