a 
Line of perforation. 
BULLETIN 559, U. S. DEPARTMENT OF AGRICULTURE. 
Office of Markets and Rural Organization. Creamery System Form No. 5. 
N63 
Rs ae bi eee CREAMERY Co., 
Places... 2.5 ee ge ee ee 191... 
Pay to the onder Of -~ 2 .- 8. Oo oe oe een ee Oi 20 A eee : 
gS he Nae oe oO Ns Ma Se a oe a ea ae, Dollars. 
Riper eee Clan CREAMERY Co. 
s BY‘c. 11250 Se pee eee 
Bete Soe a a2 BRR ee ee. oe 2 ee 
So pho 22" Aline of perforation,” 2a) ee ee er 
Detach statement before presenting for payment. 
Perens tag shee If incorrect, return at once with check for adjustment.. 
Deductions. 4 
Pounds | 
Date. Test. butter | Price. | Amcunt. 
fat. Lbs. but-| Amount 
Hauling. | Sundries. — 
ter. | of butter. 
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