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| Date: | 6 Dec 2008 |
| Recorder(s): | JE Burrows SM Burrows |
| Collector(s): | JE Burrows SM Burrows 11021 |
| Determiner(s): | |
| Confirmer(s): | |
| Herbarium: | K LMU BNRH |
| Habitat: | |
| Location: | Dambo South of Nhica do Rovuma Village, Palma District, Cabo Delgado. |
| Location code(s): | |
| Outing code: | |
| Planted code: | Not planted |
| Country: | Mozambique |
| Quarter Degree Square: | 1040C3 |
| Grid reference: | |
| FZ divisions: | N |
| Altitude (metres): | 136 |
| Notes: | Type specimen |
| Latitude, Longitude: | |
| Location Accuracy Code: | 6 |