TEAR OUT ACCESSION SHEET 
PLEASE SUBMIT TOs 
Dr* John C. Harshbarger 
Registry of Tumors in Lower Animals 
National Museum of Natural History 
Room W216-A 
Smithsonian Institution 
Washington, D.C., 20560, USA 
DATE RECD« ___ 
CONTRIBUTOR'S NO, 
RTLA NO, _____ 
USNM NO. __ 
NIH HISTOPATH NO. 
COMMON NAME ____ FAMILY ____ 
PHYLUM ____ genus ___ 
CLASS ____ SPECIES ___ 
ORDER _____ 
CATEGORY: NEOPLASM __ INFLAMMATION _ INFECTION _ PARASITIC 
DEVELOPMENTAL _ TRAUMATIC _ NORMAL __ OTHER __ 
CONTRIBUTOR (NAME & ADDRESS): COLLECTOR (NAME & ADDRESS): 
TOXIC 
ITEMS SUBMITTED (QUANTITY): 
GROSS MATERIAL ___ PHOTOGRAPHS __ 
SLIDES ____ REPRINTS ___ 
BLOCKS ____ OTHER _____ 
ORIGIN OF ANIMAL: MARINE _ FRESHWATER __ ESTAURINE 
WHERE COLLEGTED ____ 
TERRESTRIAL 
date COLLECTED _______ SEX _ AGE _ STAGE OF LIFE CYCLE 
HOW KILLED ____ FIXATION ___ 
GROSS DESCRIPTION ______ 
MICROSCOPE DX 
COMMENTS (e.g,, possible exposure to chemical pollutants or infectious agents, in¬ 
cidence and duration of this condition in the population, etc.) 
(Please use reverse side, if more space is needed) 
