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Hunting Survey  
Hunter's Permit Number:
Date of Hunt:
Hours Hunted:
Time In/Out: In: Out:
Area Hunted:

Type of Hunt:
(check all that apply)

Game Species and Bag (# Taken)
Deer - Buck: Duck - Mallard:
Deer - Doe: Duck - Wood:
Squirrel - Red: Duck - Other:
Squirrel - Fox: Duck - Other:
Rabbit: Goose:
Pheasant: Dove: