Voucher Specimen #_______________*	Quarantine Code _______________**

# Specimens Submitted                   ______________________________________

Date(s) of collection (Yrs. or Mos./Yr.)______________________________________

Specimen Preparation (pinned, etc.)	______________________________________

Geographic Locality                     ______________________________________

Research Coordinator (Project Leader)	______________________________________

Taxon (taxa) included (complete citation)_____________________________________

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Research Summary, Project Title, and Publications Associated with specimens
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Disposition of specimens:_____________________________________________________

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1	All specimens should be properly prepared, labeled, and curated prior
to submission.
*	Voucher # will be assigned by curator.
**	Introduced through TAMU Quarantine Laboratory.