Form B1-64T. 
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 
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// 
LOCALITY. 
CHARACTER OF PLACE 
WHERE KILLED. 
REMARKS. 
