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Collector(s): [Not Stated]

Verbatim Date: [Not Stated]

Collection Date (From): [Not Stated]

Collection Date (To): [Not Stated]

Verbatim Locality: [Not Stated]

Country:

State/Province:

State/Province 2: [Not Stated]

County: [Not Stated]

Precise Locality: [Not Stated]

Elevation:

Longitude:

Latitude:

Barcode/USNMENT Number: USNMENT01040521

Other Number(s):

Label Note: