10 



BULLETIN 1006, U. S. DEPARTMENT OF AGRICULTURE. 



B. of M. Form 1 



LOOSE FRUIT RECEIPT 



Name 



No 



Received 



on 

 Account of 





/32 





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 





A/umber Boxt 



?s /n Test. . . 



Net Weight 

 Bo*es Incl. 





7~ruck T/c/cef 



Mo M&u/ec/ bv 





/?e/7?3rks: ' -- _ 



S/rferec/ &>y_ . 



/Vame 



Per-. 





