PMS LABORATORY FORM 
Species 
Dates: processed S£P_jp_j_ jggg_ 
collected 
Number _-_Y___L J r=d3 
O ^ 
U i 
SEP 1 1 1963 
Locality 
„ . M Ci i* 
E? J Sr * f Lid 
iin Gov. , o h 
u « *> 
Sex --<1^--- ( dissection plumage soft parts 7^-g.cXultt A <'■ S> ^-~ ) 
Age _ 
\ 
(skull plumage soft parts ) 
Weight LitTjJ. Fat __Jbi Molt 
Disposition: ( skin skelton alcoholic ( discard) Preparator: 
Ectoparasite Exam: Visual Negative Other 
Ectoparasites 
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 
