SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species Number _ _ _A i _ j_ A _ { Z 
Dates: processed I -1— WC&Aii** _ IT 6%. _ collected _ d5_C^_ 
Locality P Oo'oDo 
Sex O ( dissect ion plumage soft parts ^ 
Age skull plumage soft parts \ 
Weight Fat Molt 
Disposition: ( skin skeiton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual VAT Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool ___JrWi_Ai_4— ___3i 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
Eli 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
