382 MILK AND MILK PRODUCTS 
BOARD OF HEALTH 
Racing, WIs. 
Sanitary Inspection of Dairies 
Dairy Score Card 
Owner or lessee or farm..............06. Decne eee nec aeeeeeeneues 
P.O. Address........ccceceee eee weae ... state oe oe © & 
Total Number of cows.................... Number milking 
Gallons of milk produced daily...... eee ve eeees bec ce eee e ee eeeeeeeeas . 
Product is retailed by producer in... .... cece cect ete e ete en eens 
Sold at wholesale to..........0.0.0.00 8s ee cee e eave nee e eens beeen ees , 
For milk supply Of... 0.6.20. eect eee eens Lees 
Permit No..................Date of Inspection...... 
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(Signed)....... 
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Inspector. 
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