Aug., 1928] INSPECTION OF FEEDING STUFFS 5 



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 



Sender's Name 



Address 



Reason for requesting analysis 



