SI-MNH-284G 
6-23-G7 
PMS LABORATORY FORM 
n Passer domesiicus 
Species Number 
Dates: processed j>_ collected 
Local ity Q-ltfA j 
SEP 2 6 111! 
& 
Sex Zl__ (dissection ^umage/ soft parts ) 
Age skull plumage soft parts ) 
Weight Jjj-k Fat Al Molt. 
Disposition: ( Jkin) skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
fV 
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 
