PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
it • 
Species _ q_ J_3L L/jdJh Number . 
Dates : processed _ -L L - _ _^ / 5 ^ ? collected _ _ /IjlJl J„± 
Locality - _ ?_ Jllii- LC t _ Li iL a. 
Sex (dissection plumage soft parts ) 
/? 
"N 
Age __Z1 (skuUy plumage soft parts ) 
Weight Fat Molt. 
Disposition: ( skin skelton ^alcoholic ) discard) Preparator: _ Jxclc/i - - iO-O _ 
/ 
Ectoparasite Exam: Visual A. Other 
Ectoparasites 
fitALC 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Pool 
Tests: VI 
___ HI 
N 
. Positive 
Virus 
Blood Smear stain (s) 
Blood Smear Results 
