10 



BULLETIN 1006, IT. S. DEPARTMENT OF AGRICULTURE. 



B.ofM.Form 1 



LOOSE 



Name. 



FRUIT 



RECEIPT 



No 



Received 

 on 



Account of 









/£2 





The "following is received in open boxes, for packing 

 without guaranty from the undersigned as to the 

 variety, grade, or weight of the fruit. 



Number 

 of Boxes 



VARIETY 



Gross 

 Weight 









TARE 



Net Weight 

 Bootes Incl. 



















A/r, 







//au/ecS £>y. 









£s?/erec/ Ay _ .. ___ 







/Vame _ 



Per. 









