SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
_^ACl_capa_ striata Number 
i I A l A 
Dates: processed MP--& t96a collected 
Localit » Matruii Gov«, 5 km*n«Ba]iig 
) 
Weight 1 Fat Molt.. 
Disposition: ( skin skelton alcoholic f discard)' Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single ___• C- _ 
Pool 
SP r 
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 
