| Locality | Truck stop, Birnside. [Burnside, Adelaide suburb] Adelaide Hills. |
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| Collection date | 29/08/1984 |
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| Collectors (aggregated) | Pike, D.C., Scott, G.A.M., Fuhrer, B.A. |
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| Collecting no. | 17532 |
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| Latitude | |
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| Altitude | |
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| Habitat | On grassy slope below truck stop, off the main highway. |
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| State | South Australia |
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| Country | |
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| Determined date | 01/09/1984 |
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| Type | |
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| Family | Fossombroniaceae |
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| Genus | Fossombronia |
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| Species | cultriformis |
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| Subspecies | |
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| Variety | |
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