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[[blank Field Label form]]

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|                 United States National Museum                         |
|                           Field Label                                 |
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| No.___________________                                                |
|                                                                       |  
| Formation:                                                            |
|                                                                       |
| Locality:                                                             |
|                                                                       |
|                                                                       |
|                                                                       |
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| Collector:       |  Date:             | Memoranda:                    |
|                  |  Note Book:        |                               |
|                  |  Page:             |                               |
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