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Department of the Interior U.S. Fish and Wildlife Service Form 3-186A USFWS Use Only Received in Regional Office on // MIGRATORY BIRD ACQUISITION AND DISPOSITION REPORT Initials Please see reverse for instructions Sex Age USFWS Band Number SPECIES Male Female Nestling Unknown Immature Captive-bred Source Adult SENDER person transferring bird Wild Microchip Number Year of Hatch if applicable USFWS Permit No. Name Date of Transfer or other action Address Zip City State E-Mail Address USFWS Permit ...

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