PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species — QtS4r£VCij^ Number . .J£a *3.1 
Dates: processed collected 

Locality 
Sex .C?. 
[lssectidi 
plumara soft 
parts 
I 
Age — skull plumage soft parts 
Weight __ Hi Fat hJ...... 
Disposition: ( Asking skelton alcoholic 
Ectoparasite Exam: Visual Other 
Mo1eUai^_\.*Y<MA 
discard) Preparator: 
^*toL.<dL#e*4«ta c or. 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis 1 Tests: VI 
SLlS-RO-Tl 
HI 
N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI ___ 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks . _Q^ J 
\ 
T/A-O-UJVV.-- 
c 
V* 
C 
M 
) 
