A one pound sample is sufficient for the analysis. It should be sent 

 in a glass jar or tin box to prevent loss of fine particles or a change in the 

 moisture content. In order that the Department may have a satisfactory 

 record of the sample analyzed, and may know whether or not the manu- 

 facturer and the dealer are complying with the requirements of the law. 

 the following information should be submitted concerning each sample. 



Brand 



^Manufacturer ... 



Address 



(Guarantee: 



Protein 



Fat 



Crude Fiber 

 Ingredients 



Dealer 



Address 



Number of bags in lot ^ 



Number of bags sampled 



Price per 100 pounds 



Your name 



Your address 



Your reason for requesting analysis 



