Form Bi-647. 
April, 1922. 
Schedule No. 5, 
UNITED STATES DEPARTMENT OF AGRICULTURE 
BUREAU OF BIOLOGICAL SURVEY. 
Name and P. O. Address of Sender 
STOMACH BLANK-FOR THE REGISTRATION OF DATA CONCERNING STOMACHS, GIZZARDS, CROPS, AND GULLETS SENT TO THE DEPARTMENT 
WYms&zestt: 
CHARACTER OF PLACE 
WHERE KILLED. 
BIOLOGICAL 
SURVEY NO. 
(LEAVE VACANT.) 
COLLECTOR’S 
NO. 
LOCALITY 
REMARKS 
HOUR 
NAME OF BIRD 
um*d 
\jffi 7 a 
Oiaa/7 
’'UTrru 
