Form Bl-647. 
April, 1922. 
Schedule No. 5. 
Name and P. O. Address of Sender , 
UNITED STATES DEPARTMENT OF AGRICULTURE, 
BUREAU OF BIOLOGICAL SURVEY. 
0 f . WifctU . 
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. 
SEX. 
DATE. 
HOUR. 
COLLECTOR. 
LOCALITY. 
CHARACTER OF PLACE 
WHERE KILLED. 
REMARKS. 
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