LABOR 85 



FORM I 



Ajtyltatum far $faBttfam as 



FuU Name..., _ - 



Post Ofice 



State.. 



Phone or Wire Addrea 



Age Single or Married 



NationaEty ,,; 



How many yean experience as Buttermaker ........ . v . 



What Systems (Whole Milk 01 Gathered Cream) 



By Whom Employed , 



Slate How Long at Each Place . 



State what Separators yog have run , 



Have you used Combined Churns , State what kind . 



Do you thoroughly understand Babcock" Teting of Milk and Cream . . 



Do you understand Pasteurizing ^.. What Pasteurizer 



Hive you operated Starter Cans ......State what kind 



Have you operated Cream Ripeners State what kind 



Can you run Refrigerating Apparatus , 



What Salary do you command .^ 



Do you use Intoxicating Liquors 



Have you ever been Discharged Give Reasons..., .. . 



Can you Respond to Immediate Call-. 



Can you keep all Books for Creamery if necessary 



REFERENCES: 





