BULLETIN 381^ U. S. DEPAKTMENT OF AGRICULTURE. 

 Form 4.— STOCK CERTIFICATE. 



No. 458 

 Shares 2 



Incorporated Under 

 the Laws of the 

 State of 



Farmers' Cooperative Association. 



[Place] 



This Certifies that F. R. Jones is the owner of Two Shares of Capital of the par 

 value of Twenty-five Dollars ($25.00) each, of the 



Farmers' Cooperative Association, 



transferable only on the books of the Association by the holder in 

 person, or by attorney, upon the surrender of this Certificate properly 

 endorsed. 



In witness whereof, the said Association has caused this Certificate 

 to be signed and sealed by its duly authorized officers this 2 day of 

 January, A. D. 1916. 

 [seal.] James Smith, John Doe, 



Secretary. President. 



Form 5.— STOCK CERTIFICATE REGISTER. 



Cert. 



No. 



Date 



issued. 



Name. 



Address. 



LF. 



Shares. 



Amount. 



458 

 4S9 



June 

 1915 



20 

 20 





R. F.B.Ji 



890 Monroe Street 





2 

 2 



50 

 60 





F. L. Green 





















































238 



6,000 









Left side. 

 FARMERS' COOPERATIVE ASSOCIATION. 



Original 



Date. 



Transferred from— 



Original 



certificate 



No. 



Original 

 number 

 of shares. 



Number 



of shares 



transferred. 



Remarks. 



July 



S 



P.D. Smith 



327 



2 



2 





Cash 































Right side. 



