Aug , 1925] INSPECTION of feeding stuffs 15 



that we may know whether or not the manufacturer is com- 

 plying with all the requiremnts of the law, we request that 

 the following information be submitted : 



Brand 



Manufacturer 



Address 



Guarantee : 



Protein , 



Fat 



Carbohydrates 



Crude Fiber 



Ingredients 



Dealer 



Address 



Number of bags in lot 



Number of bags sampled 



Price per 100 pounds 



Your name 



Address 



Your reason for requesting analysis 



