………………. NOTARY PUBLIC.

It is necessary not only to know what animals are received at any laboratory; we must be able to follow them to the end. Each individual instructor, professor or assistant-professor, or other person who performs experiments of any kind should be required to state what he has done. The following is an outline of a report which might be made to the Director in charge of the laboratory.

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A REPORT OF ALL MAMMALIAN ANIMALS USED FOR EXPERIMENTATION, EITHER BY MYSELF OR UNDER MY PERSONAL SUPERVISION IN ……….. LABORATORY, DURING QUARTER ENDING MARCH 31, 1920.

———————————————————————————————————- | | | | Mon- |Guinea-| Other | | | | Dogs.| Cats.| keys.| Pigs. |Animals.| Total.| |———————————-|———|———|———|———-|————|———-| | | | | | | | | | I. Number of animals | | | | | | | | used solely for | | | | | | | | original research | | | | | | | | II. Number of animals | | | | | | | | used for demonstra- | | | | | | | | tion before students, | | | | | | | |of physiological facts | | | | | | | |III. Number of animals | | | | | | | | experimented upon by | | | | | | | | students .. .. | | | | | | | | |———|———|———|———-|————|———-| | 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.