SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species l 
Dates: processed Q.QT._1_8_B63 collected 
Locality * _Mct L_iL _'_Q ( !_ 1 — _ -I'—Ll _ 
Number <J_cL« J 2j> 
_Q.QT_1_8._B63 
Sex 
(dissection y plumage) soft parts 
Age T— -CikuID plumage soft parts TAG ) 
Weight _^£_^_-_dgT___ Fat tt Molt- 
Disposition: ( skin skeiton alcoholic ( oiscard ^ Preparator: 
Fxtoparasite Exam: Visual ?egaj._ive Other 
Ectoparasites 
Ectoparasite Virus Export 
Blood Sample: Single 3\/ <C _ 
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 
