SANITARY INSPECTION OF DAIRY FARMS 



MARKET MILK PRODUCTION 



SCORE CARD 



* 



Indorsed by the Official Dairy Instructors' Association. 



Owner or lessee of farm : 



P. O. address .State 



Total number of cows Number milking 



(jallonsof milk produced daily 



Product is sold by producer to families, hotels, restaurants, stores, 



v 



to dealer 



For milk supply of 



Permit No Date of inspection 191 .. 



REMARKS. . 



(Signed) 



Inspector 



43 



