BULLETIN" 403, U. S. DEPARTMENT OF AGEICULTURE. 



» [Shipment record envelope.] 



Office of Markets and Rural Organization, Live Stock System Form No. 2. 



Farmers Live Stock Shipping Association. 



Date SMpment No 



Routing Car initials 



Consignee Car No 



Address 



Shipment covered by receipts No 





to No 













Kind. 



Number. 



Home wt. 



Market 

 wt. 



Per cent 

 shrinkage. 



Remarks. 



Hogs 













Calves 













Cattle 

























Total 











' 





















Charges. 



Amount. 



Charge per hundredweight. 



Hogs. 



Calves. 



Cattle. 



Sheep. 













































Selling nomml'ssinn 























Manflger's fnmmiR 



sion 





















Incidental expense 



s 





























































♦ 





















Total. 







— 



— 



— 















































Remittances date .191 



Statements No to No 

































1 



MEMBER'S RECEIPT AND ACCOUNT SALES. 



In order that there may be no dupHcation in the amount of work 

 necessary to secm'e the original entries with reference to shipments, 

 a form has been provided, whereby a carbon copy of the information 

 contained on the member's receipt, Form No. 3, which is dehvered to 

 the farmer at the time of the dehvery of his stock, is made upon the 

 member's account sales (see page 9, Form No. 3a), and upon a duph- 



