488 



POULTRY CULTURE 



FORMS 



(Form A) 

 Folio No. . . 



Farmvillb Poultry Circle, Farmvillb, Va. 

 Office copy of member's receipt 



Date, , 191 . 



Received of . . Circle No. . . the following: 



No. Price Total 



Paid by check No. . 

 Date, ,191 



Checked by:. 

 Collector 



(Form B) 



No. 



Fahmville Poultry Circle, Farmville, Va. 

 Statonent of returns and copy of member's receipt 

 Date collected. 



191 



Mr. . . , Circle No. the inclosed check is in payment of 



the following : 



Checked by 



Collector 



Manager 



