------|------|-------|--------|-------|
| Total .. .. | | | | | | |
| |------|------|------|-------|--------|-------|
|IV.Number of above ani-| | | | | | |
| mals, in experimen-| | | | | | |
| tation upon which | | | | | | |
| CURARE was used | | | | | | |
| | | | | | | |
-----------------------------------------------------------------------

(Signed) ........................
ASSISTANT IN PHYSIOLOGY.

STATE OF NEW YORK.
CITY OF NEW YORK. SS.

On this 31st day of March, 1920, before me, the subscriber, personally
came A. B., known to me, and he, being duly sworn, declared that the
foregoing report was signed by him, and that it is a true, full and
complete statement of all mammalian animals used by him or under his
personal supervision for experimental purposes in the ...........
Laboratory during the quarter ending March 31, 1920.

......................
NOTARY PUBLIC.

Suggested form of report, to be made quarterly by the responsible head
of each Institution wherein animal experimentation is authorized.

--------------------

A REPORT OF THE DISPOSITION OF ANIMALS (MAMMALS) USED FOR EXPERIMENTAL
PURPOSES IN ALL LABORATORIES OF CARNEGIE INSTITUTE DURING QUARTER
ENDING MARCH 31, 1920.

------------------------------------------------------------------------
| | | | Mon-| Other | |
| Animals. | Dogs.| Cats.|keys.|Animals.| Total.|
|---------------------------------|------|------|-----|--------|-------|
| I. Number used for original | | | | | |
| research only, by: | | | | | |
| Dr. X. .. .. .. | | | | | |
| Dr. Y. .. .. .. | | | | | |
| II. Number used for demonstra- | | | | | |
| tions before students, by: | | | | | |
| Dr. A. .. .. .. | | | | |