26 BULLETIN 362, U. S. DEPARTMENT OF AGRICULTURE. 



No. 



WAREHOUSE SCALE TICKET. 



Office of Markets and Rtiral Organization, Grain System Form No. 11. 



Co. 



At 



191 



This ticket is not a storage ticket and is not negotiable. Is must be exchanged on 

 day of issue for a lawful storage ticket or cash check. 



Owner 



Driver On. 



Load of 



Off. 



Grade Dockage Lbs. 



Signed - Agent. 



Exchanged for Check No , Storage Ticket No. 



Pounds. 



Bushels. 



Gross. 



Tare. 



Net. 



Gross. 



Dockage. 



Net. 







































