26 BULLETIN 236, U. S. DEPARTMENT OF AGRICULTUEE. 



No. 



WAREHOUSE SCALE TICKET. 



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



Co. 



At 



., 191 



This ticket is jiot 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 



Load of 



Grade 



Signed 



Exchanged for Check No. 



On. 



Off. 



Dockage Lbs. 



Agent. 



Storage Ticket No. 



Pounds. 



Bushels. 



Gross. 



Tare. 



Net. 



G ross. 



Dockage. 



Not. 







































