106 THE CONNECTICUT AGKICULTURAL 



Seeds sent in for gratuitous examination must be accompanied 

 by the following form : 



THE CONNECTICUT 

 AGRICULTURAL EXPERIMENT STATION, 



New Haven, Conn. 



Form for Description of Sample, 

 Station, No. Received at Station, 188 . 



Each sample of seed sent for gratuitous examination must be 

 accompanied by one of these Forms, with the blanks heloio filled 

 out as fully as practicable. 



This Form, filled out and sent with the sample, will serve as 

 a label ; but it should be returned in good order for filing in the 

 Station Records. 



Send with each sample a specimen of any printed circular, or 

 statement that accompanies the seed or is used in its sale. 



Name or label of seed, 



Name and address of Producer or Importer, 



Name and address of Dealer from whose stock this sample is taken, 



Date of taking this Sample, 



Selling price per pound or bushel. 



Known or reputed age of seed. 



Number of packages from which sample is taken, 



Signature and P. O. addi-ess of person taking and sending the 

 sample. 



