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SOUTHERN MICHIGAN OSPREY OBSERVATION REPORT
This information is voluntary under Part 365, Endangered Species Protection, of the
Natural Resources and Environmental Protection Act, Act 451 of the Public Acts of 1994.

DATE OF OBSERVATION:    
LOCATION OF OBSERVATION: (Southern Michigan only!)
County: Town, Village, or City:
Town:   TN S Range:   R W E Section:
Description of Location (distance and direction from the nearest town, road intersection, railroad track or other landmarks):
Body of Water:   Type:      Name:
OBSERVATION OF OSPREY:
Features/Characteristics used in identifying the bird as an Osprey:
Number of Osprey:

Rank Your Confidence in This Identification:

Distance from Observer to Osprey:
Weather Conditions: 
Behavior of Osprey:
      Perching    Flying    Other (describe):
COMMENTS:
OBSERVER INFORMATION: (so we can contact you, if necessary, to clarify details)
Name: Telephone Number:
(Please use 123-456-7890 format)
Street Address:
City: Zip Code:
Email:
Activity at time of observation:
     Hunting
     Hiking
Trapping
Walking
Fishing
Riding in Vehicle
     Other (describe):
SUBMITTER INFORMATION:
Name:
Agency/Location:


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