BULLETIN 381, U. S. DEPARTMENT OF AGRICULTURE. 
Form 4.— STOCK CERTIFICATE. 
No. 458 
Shares 2 
Incorporated Under 
the Laws of the 
State of 
Farmers' Cooperative Association. 
[Place] 
This Certifies that F. R. Jones is the owner of Two Shares of Capital of the par 
value of Twenty-five Dollars ($25.00) each, of the 
Farmers' Cooperative Association, 
transferable only on the books of the Association by the holder in 
person, or by attorney, upon the surrender of this Certificate properly 
endorsed. 
In witness whereof, the said Association has caused this Certificate 
to be signed and sealed by its duly authorized officers this 2 day of 
January, A. D. 1916. 
[seal.] James Smith, John Doe, 
Secretary. President. 
Form 5.— STOCK CERTIFICATE REGISTER. 
Cert. 
No. 
Date 
issued. 
Name. 
Address. 
LF. 
Shares. 
Amount. 
458 
459 
June 
1915 
20 
R. F.D.4 
830 Monroe Street 
2 
2 
50 
50 
F. L. Green 
1 
1 | 
238 
6,000 | 
1 I 
Left side. 
FARMERS' COOPERATIVE ASSOCIATION. 
Original 
Date. 
Transferred from— 
Original 
certificate 
No. 
Original 
number 
of shares. 
Number 
of shares 
transferred. 
Remarks. 
July 3 
P. D. Smith 
327 
2 
2 
1 
Right side. 
