Form Bi-647. 
April, 1922. 
Schedule No. 5. 
Name and P» O . Address of Sender, 
UNITED STATES DEPARTMENT OF AGRICULTURE, 
BUREAU OF BIOLOGICAL SURVEY. 
STOMACH BLANK-FOR THE REGISTRATION OF DATA CONCERNING STOMACHS, GIZZARDS, CROPS, AND GULLETS SENT TO THE DEPARTMENT. 
BIOLOGICAL 
SURVEY NO. 
(LEAVE VACANT.) 
COLLECTOR’S 
NO. 
NAME OF BIRD. 
f I 
ir ' 
/V 
nrv 
1)6 
in 
f/i 
S/tA 
7 
l 
7 
/i 
n a 
/ 
Vs 
$ldh\ 
/ 
io ojjjxx/ 
(J 
/ > 
OlMsO 
H -. ' 
II ’ ' 
SEX. 
DATE. 
HOUR. 
COLLECTOR. 
11 
M 
ps 
- A 
CvM/VV£^'7i4£> 
f / f 
i .y 
1 1 
/# 
• i 
n 
1 1 
LOCALITY. 
T 
CHARACTER OF PLACE 
WHERE KILLED. 
REMARKS 
► • 
*^Ut< 
r A 
v< 
V l 
7y 
vtf 
t ’ K 
/) AASYlnJt &l/i{ 
tftSUl 4vv 
h % * * 
• t 
< S^Sa / bt &Cod* r > 
»# 
» • • 
l! 
