26 BULLETIN 362, U. S. DEPARTMENT OF AGRICULTURE, 
No. 
WAREHOUSE SCALE TICKET. 
Office of Markets and Rural Organization, Grain System Form No. 11. 
Co. 
At 
191 
This ticket is not a storage ticket and is not negotiable. Is must be exchanged on 
day of issue for a lawful storage ticket or cash check. 
Owner 
Driver 
Load of 
Grade 
Signed 
Exchanged for Check No. 
On. 
Off. 
Dockage Lbs 
Storage Ticket No. 
Agent. 
Pounds. 
Bushels. 
Gross. 
Tare. 
Net. 
Gross. 
Dockage. 
Net. 
