SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
X-/7 
Species Number 
Dates: processed collected 
Locality _A'J 
/?X? 
i 
Sex xr___ 
[issection , plumage / soft parts 
n , 
Disposition: ( skin 
alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
Age skull plumage soft parts ) 
Weight __A/.7 _a/--- Fat Molt. 
S. £ fe-Zer-rs * ? 
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 
A//°4 C4/0(ra /fil* 
/ 
7 7 
