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. 
P< 
1 3 
fir 
(pi 
JH 
i? 
7 0 Nqj 
&C(rrruJcc{ 
J ^> 1^(1 
$>( ££ I'Ui 
^KCOmvlO 
JOY^ 
S(lotl 
Ifo 
VJ/) 
/ 
4 1 
JOZi y ^ 
o!i-C( /Ui 
£) Urryyji clxo^ 
Qaa^\JLC^A^7 
e\ 
t*1 
7 / 
nm 
V 
At Wt 
y 
Ca ? 6 * 
fef: 
iaJcJa/v*\ ^ 
" - f S J* 
1 
vi 
V 1 
SEX. 
DATE. 
HOUR. 
COLLECTOR. 
LOCALITY. 
j ' 7f l3 j 
fad 
d. // 
»» /» / 3 
'» e * 2 b 
& yyi^i z 
• * 
'r 
* 1 
*» 
#• 
•1 
dW. 
'■ •, 
dVi /" /° 
«# 
<« 
/ / 
»* 
*\ 
»# 
1 • 
CHARACTER OF PLACE 
WHERE KILLED. 
REMARKS. 
V 
Af 
^CStA/c^vt/ /^J 
/—jCA^c. U* ^ AckA^(J f /\/a 
CUaAXaa. 
'CuaJQajs, 
f » 
TcJL^Ia Vd&jf > * 
/2ohyx\ A/a. 
f CJLAASPZ jU^ 
\ . 
